This log is also available as text (s23594.txt) and as a (binary) annotation file (s23594.log).
Generated: Monday, 07-Jun-2010 13:20:40 EDT
(All dates below are surrogates.)
t0: [10:43:18 11/03/2008] tf: [14:32:43 19/03/2008] id: a40119 [view]
t0: [10:41:59 11/03/2008] tf: [14:37:59 19/03/2008] id: a40119n [view]
dd: 78605 ds: 1 ld: SHORTNESS OF BREATH dd: 78609 ds: 3 ld: RESPIRATORY ABNORM NEC dd: 78650 ds: 2 ld: CHEST PAIN NOS
dd: 72402 ds: 1 ld: SPINAL STENOSIS-LUMBAR dd: 7862 ds: 2 ld: COUGH
dd: 72402 ds: 1 ld: SPINAL STENOSIS-LUMBAR
dd: 72402 ds: 1 ld: SPINAL STENOSIS-LUMBAR
dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS
dd: 4019 ds: 1 ld: HYPERTENSION NOS dd: 53011 ds: 2 ld: REFLUX ESOPHAGITIS dd: 78079 ds: 3 ld: OTHER MALAISE & FATIGUE
dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 43491 ds: 1 ld: CER ART OCCL W/ CER INFA dd: 53081 ds: 3 ld: ESOPHAGEAL REFLUX dd: 72402 ds: 4 ld: SPINAL STENOSIS-LUMBAR dd: 78099 ds: 1 ld: OTH GENERAL SYMPTOMS
dd: 0389 ds: 2 ld: SEPTICEMIA NOS dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS
dd: 00845 ds: 4 ld: INTESTIN INF CLOSTRIOIUM dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 42731 ds: 5 ld: ATRIAL FIBRILLATION dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 4940 ds: 9 ld: BRONCHIECTASIS W/O ACTE dd: 5180 ds: 3 ld: PULMONARY COLLAPSE dd: 51881 ds: 2 ld: RESPIRATORY FAILURE dd: 5191 ds: 6 ld: TRACHEA/BRONCHUS DIS NEC dd: 53081 ds: 7 ld: ESOPHAGEAL REFLUX
tf: [17:22:00 19/05/2010] dt: 5331 cu: MICU de: CCU
t0: [00:31:00 16/05/2010] id: BSA el: 1033 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: Admit Wt el: 1032 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: Allergy 1 el: 1020 cu: MICU cg: 1531 v1: Penicillins t0: [00:31:00 16/05/2010] id: Diagnosis/op el: 1023 cu: MICU cg: 1531 v1: PNEUMONIA-RESPIRATORY FAILURE t0: [00:31:00 16/05/2010] id: Service el: 1026 cu: MICU cg: 1531 v1: MED t0: [00:31:00 16/05/2010] id: Admit Ht el: 1034 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: Readmission el: 1014 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: Marital Status el: 1006 cu: MICU cg: 1531 v1: W t0: [00:31:00 16/05/2010] id: Religion el: 1000 cu: MICU cg: 1531 v1: MUS t0: [00:31:00 16/05/2010] id: Allergy 2 el: 1021 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: Ext el: 1010 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] id: PIN el: 1012 cu: MICU cg: 1531 t0: [00:31:00 16/05/2010] 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: [01:56:00 16/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd t0: [01:56:00 16/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [01:56:00 16/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [01:56:00 16/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [01:56:00 16/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 325 u1: mmHg rs: Final st: NotStopd t0: [01:56:00 16/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.48 rs: Final st: NotStopd
tf: [02:00:00 17/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 3 dn: 1 m1: Azithromycin f1: INJ v1: 500 u1: mg m2: D5W f2: INJ v2: 500 u2: ml tf: [13:00:00 18/05/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 3 dn: 1 m1: Ceftriaxone f1: BAG v1: 1 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml tf: [17:00:00 04/06/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam f1: SYR v1: 0.5-1 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen f1: TAB v1: 325-650 u1: mg
id: .9% Normal Saline el: 1 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [03:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Rectal st: NotStopd t0: [03:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [03:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 101.6 u1: Deg. F st: NotStopd t0: [03:00:00 16/05/2010] id: Daily Weight el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [03:11:00 16/05/2010] id: BSA el: 1033 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Admit Wt el: 1032 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Allergy 1 el: 1020 cu: CCU cg: -1 v1: Penicillins t0: [03:11:00 16/05/2010] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: PNEUMONIA-RESPIRATORY FAILURE t0: [03:11:00 16/05/2010] id: Service el: 1026 cu: CCU cg: -1 v1: MED t0: [03:11:00 16/05/2010] id: Admit Ht el: 1034 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Readmission el: 1014 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Marital Status el: 1006 cu: CCU cg: -1 v1: W t0: [03:11:00 16/05/2010] id: Religion el: 1000 cu: CCU cg: -1 v1: MUS t0: [03:11:00 16/05/2010] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Ext el: 1010 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: PIN el: 1012 cu: CCU cg: -1 t0: [03:11:00 16/05/2010] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [03:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 16/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: BATH el: 0 cu: MICU cg: -1 v1: DONE t0: [04:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Very Sedated st: NotStopd t0: [04:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [04:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [04:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 16/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 16/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 16/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 16/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 16/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Right st: NotStopd t0: [04:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Pain st: NotStopd t0: [04:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [04:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [04:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 16/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 16/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 16/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Unresponsive st: NotStopd t0: [04:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Comp. Immobile st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 16/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [04:00:00 16/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [03:00:00 16/05/2010] tf: [08:00:00 19/05/2010] dt: 4620 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [04:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [04:00:00 16/05/2010] tf: [17:22:00 19/05/2010] dt: 5122 id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [04:35:00 16/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [04:35:00 16/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -1 rs: Final st: NotStopd t0: [04:35:00 16/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:35:00 16/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 16/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [04:35:00 16/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [05:00:00 16/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.129 u1: ml/cmH st: NotStopd t0: [05:00:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [05:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [05:00:00 16/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:2.7 st: NotStopd t0: [05:00:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [05:00:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 16/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [05:00:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [05:00:00 16/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3.5 st: NotStopd t0: [05:00:00 16/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [05:00:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [05:00:00 16/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 16/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 16/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 16/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 16/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: SIMV st: NotStopd t0: [05:00:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 16/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [05:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [05:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [05:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [05:15:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.6 u1: torr st: NotStopd
t0: [04:15:00 16/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 36.6 u1: % rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 210 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.83 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.1 rs: Final st: NotStopd
t0: [04:15:00 16/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 31.1 rs: Final st: NotStopd
t0: [04:15:00 16/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 115 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [06:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [06:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Right st: NotStopd t0: [06:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [06:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [06:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [06:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [07:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Very Sedated st: NotStopd t0: [07:00:00 16/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 19cm v2: Lip st: NotStopd t0: [07:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [07:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [07:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [07:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [07:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [07:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [07:00:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [07:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 16/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 16/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 16/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 16/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [08:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Pain st: NotStopd t0: [08:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 16/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [08:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 16/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 16/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 16/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 16/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 16/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 16/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [07:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [08:20:00 16/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 14.7059 u1: ml/cmH st: NotStopd t0: [08:20:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RT v2: Lip st: NotStopd t0: [08:20:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [08:20:00 16/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 40 u1: BPM st: NotStopd t0: [08:20:00 16/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:3.2 st: NotStopd t0: [08:20:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [08:20:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [08:20:00 16/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT u1: Deg. C st: NotStopd t0: [08:20:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: RT v1: 3 v2: 8 st: NotStopd t0: [08:20:00 16/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 3 st: NotStopd t0: [08:20:00 16/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 12.2 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 5.6 u1: L/min st: NotStopd t0: [08:20:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: Peak Flow el: 0 cu: MICU cg: RT v1: 45 u1: L/m st: NotStopd t0: [08:20:00 16/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 39 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 29 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [08:20:00 16/05/2010] id: Pressure Support el: 0 cu: MICU cg: RT v1: 10 u1: . st: NotStopd t0: [08:20:00 16/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 0 u1: BPM st: NotStopd t0: [08:20:00 16/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [08:20:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [08:20:00 16/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [08:20:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [08:20:00 16/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 470 u1: ml/B st: NotStopd t0: [08:20:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [08:20:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: SIMV+PS st: NotStopd t0: [08:20:00 16/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RT v1: 15 u1: # st: NotStopd t0: [08:20:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RT v1: 7200A st: NotStopd t0: [08:20:00 16/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [08:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Very Sedated st: NotStopd t0: [08:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [08:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [08:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [08:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 16/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 16/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [09:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [09:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 24 vu: ml
tf: [19:00:00 16/05/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Potassium Chloride f1: CAP v1: 60 u1: mEq tf: [08:00:00 17/05/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium f1: CAP v1: 100 u1: mg tf: [08:00:00 17/05/2010] pt: Unit Dose rt: PR fr: QD fs: 10 dn: 1 m1: Aspirin f1: SUPP v1: 300 u1: mg tf: [09:00:00 17/05/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 100 u1: mg tf: [09:00:00 17/05/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 50 u1: mg tf: [09:00:00 17/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Magnesium Oxide f1: TAB v1: 800 u1: mg tf: [09:00:00 17/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT tf: [15:00:00 20/05/2010] pt: Unit Dose rt: PO fr: Q24H fs: 10 dn: 1 m1: Azithromycin f1: CAP v1: 250 u1: mg tf: [12:00:00 30/05/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml tf: [17:00:00 04/06/2010] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Solution f1: SOLN v1: 30 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin f1: INJ v1: 0 u1: UNIT
t0: [09:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [09:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [09:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [09:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [10:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 16/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [10:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [10:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [10:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [10:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [10:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [10:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [10:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [10:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [10:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [10:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [10:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [10:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 16/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Bleeding Gum st: NotStopd t0: [10:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [10:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [10:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Exp Wheeze st: NotStopd t0: [10:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [10:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [10:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 16/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [10:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml
t0: [09:00:00 16/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [10:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [10:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [10:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [10:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Rectal st: NotStopd t0: [10:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38.2222 u1: Deg. C st: NotStopd t0: [10:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.8 u1: Deg. F st: NotStopd t0: [10:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
id: Heparin el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [04:15:00 16/05/2010] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 78 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 115 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Albumin (>3.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 59 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Amylase Enzymes el: 0 cu: MICU cg: 1663 v1: 77 rs: Final st: NotStopd t0: [04:15:00 16/05/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [09:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 5.5 u1: L/min st: NotStopd t0: [09:00:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd
t0: [11:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [11:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [11:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [11:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [11:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [11:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [11:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 5 vu: ml
t0: [11:22:00 16/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [11:22:00 16/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [11:00:00 16/05/2010] tf: [18:00:00 16/05/2010] dt: 420 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vu: ml nb: 1 t0: [11:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [10:00:00 16/05/2010] tf: [18:00:00 16/05/2010] dt: 480 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 16/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [11:00:00 16/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Level el: 0 cu: MICU cg: -1 v1: 1-None to Mild st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [12:00:00 16/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [12:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [12:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [12:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [12:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 53.3333 u1: mmHg st: NotStopd t0: [12:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 1-None to Mild st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 16/05/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: Repositioned v2: Backrub st: NotStopd t0: [12:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [12:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [12:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 16/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [12:00:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [12:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [12:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [12:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [11:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [13:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [13:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [13:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 50.3333 u1: mmHg st: NotStopd t0: [13:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [13:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [13:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [13:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [13:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [13:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [13:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [13:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 8 vu: ml
t0: [13:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
id: Gastric Meds el: 1 cu: MICU cg: -1 io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Free Water Bolus el: 1 cu: MICU cg: -1 io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric
t0: [14:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [14:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72.6667 u1: mmHg st: NotStopd t0: [14:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [14:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [14:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/05/2010] tf: [17:22:00 19/05/2010] dt: 4762 id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [12:00:00 16/05/2010] tf: [17:22:00 19/05/2010] dt: 4642 id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml t0: [14:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 100 vu: ml t0: [14:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [14:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 4 vu: ml
t0: [14:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:22:00 16/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: -1 v1: 3.1 rs: Final st: NotStopd t0: [12:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [15:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [15:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [15:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [15:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [15:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [15:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 2 vu: ml
t0: [15:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 16/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 15.1515 u1: ml/cmH st: NotStopd t0: [12:00:00 16/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:3.2 st: NotStopd t0: [12:00:00 16/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT u1: Deg. C st: NotStopd t0: [12:00:00 16/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 3 st: NotStopd t0: [12:00:00 16/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 14.9 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 5.4 u1: L/min st: NotStopd t0: [12:00:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Peak Flow el: 0 cu: MICU cg: RT v1: 45 u1: L/m st: NotStopd t0: [12:00:00 16/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 38 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 30 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [12:00:00 16/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 16/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 16/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [12:00:00 16/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [16:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [16:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 18 vu: ml
t0: [15:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd
t0: [15:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [15:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [15:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [15:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [15:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [15:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [15:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [15:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [15:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd
t0: [16:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [16:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 16/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [16:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [16:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [16:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 47.6667 u1: mmHg st: NotStopd t0: [16:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Bleeding Gum st: NotStopd t0: [16:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [16:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [16:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 16/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 16/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 16/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 16/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [16:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [16:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 16/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 16/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [16:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 16/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 16.129 u1: ml/cmH st: NotStopd t0: [17:00:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RT v2: Lip st: NotStopd t0: [17:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 16/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:3.2 st: NotStopd t0: [17:00:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [17:00:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [17:00:00 16/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT u1: Deg. C st: NotStopd t0: [17:00:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: RT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 16/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 3 st: NotStopd t0: [17:00:00 16/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 13.9 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 5.6 u1: L/min st: NotStopd t0: [17:00:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: Peak Flow el: 0 cu: MICU cg: RT v1: 45 u1: L/m st: NotStopd t0: [17:00:00 16/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 36 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 27 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [17:00:00 16/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: RT v1: 100 u1: % st: NotStopd t0: [17:00:00 16/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 460 u1: ml/B st: NotStopd t0: [17:00:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [17:00:00 16/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RT v1: 15 u1: # st: NotStopd t0: [17:00:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RT v1: 7200A st: NotStopd t0: [17:00:00 16/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [16:45:00 16/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 130.3 rs: Final st: NotStopd
t0: [17:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 59.3333 u1: mmHg st: NotStopd t0: [17:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [17:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [17:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [17:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [18:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [18:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [18:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [18:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [18:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 v1: Right Hand v2: 20 gauge st: NotStopd t0: [18:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [18:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [18:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [18:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [18:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [18:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [18:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [18:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [18:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 16/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 250 vu: ml
t0: [17:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 560 ap: none
t0: [18:00:00 16/05/2010] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [18:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 v1: Drainage st: NotStopd
t0: [18:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml st: Stopped
t0: [18:00:00 16/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [19:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [19:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [19:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [19:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [19:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [19:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [19:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [19:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [19:00:00 16/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vu: ml
t0: [19:00:00 16/05/2010] tf: [13:30:00 17/05/2010] dt: 1110 id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:45:00 16/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 19 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 120 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 133 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 u1: mEq/L rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [16:45:00 16/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 150 rs: Final st: NotStopd
tf: [19:00:00 17/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 4 u1: gm m2: D5W f2: INJ v2: 250 u2: ml tf: [19:00:00 17/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 20 dn: 1 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT tf: [19:00:00 17/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 20 dn: 1 m1: Potassium Chloride f1: CAP v1: 20 u1: mEq
t0: [20:00:00 16/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 16/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [20:00:00 16/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 16/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 16/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 16/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 16/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 16/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [20:00:00 16/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [20:00:00 16/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 16/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 1 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 16/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 16/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 16/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 16/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [20:00:00 16/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 16/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [20:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/05/2010] id: IV #1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [21:00:00 16/05/2010] id: IV #1 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [21:00:00 16/05/2010] id: IV #1 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [21:00:00 16/05/2010] id: IV Site Appear #1 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 16/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: BATH el: 0 cu: MICU cg: -1 v1: Done t0: [20:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 16/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 16/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 16/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 16/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 16/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 16/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 16/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 16/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 16/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 16/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 16/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 16/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 16/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 16/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 16/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 16/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 16/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 16/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 16/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Bleeding Gum st: NotStopd t0: [20:00:00 16/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 16/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 16/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 16/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 16/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 16/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 16/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 16/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 16/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 16/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 16/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 16/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 16/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [20:00:00 16/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 16/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [20:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 16/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 16/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 16/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 16/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [21:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [21:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [21:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [21:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/05/2010] tf: [17:22:00 19/05/2010] dt: 4222 id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [19:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [20:00:00 16/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 500 vu: ml t0: [20:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [21:00:00 16/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 250 vu: ml t0: [21:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 5 vu: ml
t0: [22:00:00 16/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 16/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 16/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 16/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [22:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 16/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 16/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 16/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [22:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.3333 u1: mmHg st: NotStopd t0: [22:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 16/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 16/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [22:00:00 16/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 16/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [22:00:00 16/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 16/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 16/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 16/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [22:00:00 16/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 16/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 16/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 16/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 16/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 16/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 16/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [23:00:00 16/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 16/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 66.3333 u1: mmHg st: NotStopd t0: [23:00:00 16/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 16/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 16/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 16/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [23:00:00 16/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 16/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 16/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [23:00:00 16/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 16/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [23:00:00 16/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 15 cv: 15 ap: none t0: [23:00:00 16/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -5 cv: -5 ap: none t0: [23:00:00 16/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 3542 ap: none t0: [23:00:00 16/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 10 cv: 4102 ap: none t0: [23:00:00 16/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 15 cv: 328 ap: none t0: [23:00:00 16/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -5 cv: 3774 ap: none t0: [23:00:00 16/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 15 cv: 328 ap: none t0: [23:00:00 16/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -5 cv: 3774 ap: none t0: [23:00:00 17/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 6 cv: 7329 ap: none
t0: [00:00:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 14.7059 u1: ml/cmH st: NotStopd t0: [00:00:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [00:00:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [00:00:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [00:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [00:00:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 39 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 470 u1: ml/B st: NotStopd t0: [00:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [00:00:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 16/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [00:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [01:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [01:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [01:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [02:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [02:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [02:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [03:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [03:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [01:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [02:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [03:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml
t0: [04:00:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.129 u1: ml/cmH st: NotStopd t0: [04:00:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [04:00:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.2 st: NotStopd t0: [04:00:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 17/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 u1: Deg. C st: NotStopd t0: [04:00:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.4 u1: L/min st: NotStopd t0: [04:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [04:00:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [04:00:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [05:26:00 17/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -2 rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.12 rs: Final st: NotStopd t0: [05:26:00 17/05/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd
t0: [00:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 17/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 17/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 17/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 17/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 17/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [00:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Bleeding Gum st: NotStopd t0: [00:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 17/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 17/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 17/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [00:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [02:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [02:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 17/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 17/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 17/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 17/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [04:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Bleeding Gum st: NotStopd t0: [04:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [04:00:00 17/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 17/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 17/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 17/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [04:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [05:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [05:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [05:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [06:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [06:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [06:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [06:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [06:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [06:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [06:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [05:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 10 vu: ml t0: [06:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [05:23:00 17/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 19.3 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 35.2 u1: % rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 240 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.69 u1: /mic l rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 19.3 rs: Final st: NotStopd
t0: [05:00:00 17/05/2010] id: RSBI (<100) el: 0 cu: MICU cg: -1 u1: units st: NotStopd t0: [05:00:00 17/05/2010] id: RSBI (<200) el: 0 cu: MICU cg: -1 u1: units st: NotStopd t0: [05:00:00 17/05/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [05:00:00 17/05/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: -1 v1: 0.04 u1: L st: NotStopd
t0: [05:23:00 17/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.6 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 31.7 rs: Final st: NotStopd
t0: [05:23:00 17/05/2010] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 68 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 44 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 65 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 118 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.6 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 119 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: LDH Enzymes el: 0 cu: MICU cg: 1663 v1: 195 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [05:23:00 17/05/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [07:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [07:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [07:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [07:30:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:30:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:30:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [07:30:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:30:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [07:30:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:30:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [07:30:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:30:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:30:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 17/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [08:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 17/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 17/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:00:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 17/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 17/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [08:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [08:00:00 17/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 17/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 17/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [08:00:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [07:30:00 17/05/2010] tf: [15:00:00 17/05/2010] dt: 450 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 800 vu: ml t0: [08:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [07:30:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [08:00:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:1.9 st: NotStopd t0: [08:00:00 17/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.4 u1: L/min st: NotStopd t0: [08:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [08:00:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
id: .9% Normal Saline el: 2 cu: MICU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [09:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [09:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [09:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:15:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:15:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:15:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [09:15:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:15:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [09:15:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:15:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:15:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:15:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:15:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:30:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:30:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:30:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [09:30:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:30:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [09:30:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:30:00 17/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:30:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:30:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:30:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:30:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:45:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:45:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:45:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [09:45:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:45:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [09:45:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:45:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [09:45:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:45:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:45:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 4 vu: ml t0: [09:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [09:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [09:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:15:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:30:00 17/05/2010] tf: [20:00:00 18/05/2010] dt: 2070 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml
tf: [13:00:00 17/05/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 75 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium (Liquid) f1: LIQ v1: 100 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin f1: TAB v1: 325 u1: mg
t0: [09:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 17/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [09:00:00 17/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 17/05/2010] id: BATH el: 0 cu: MICU cg: -1 v1: done t0: [10:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 17/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [10:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v2: On st: NotStopd t0: [10:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [10:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:00:00 17/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 17/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [10:00:00 17/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [10:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [11:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [11:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [11:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [11:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [11:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [11:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 17/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 14 u1: points st: NotStopd t0: [12:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [12:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 17/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 17/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Positive st: NotStopd t0: [12:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [11:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [11:00:00 17/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [12:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [12:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [12:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [11:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 13.8889 u1: ml/cmH st: NotStopd t0: [12:00:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [12:00:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1;3.2 st: NotStopd t0: [12:00:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [12:00:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [12:00:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.6 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [12:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [12:00:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 17/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [12:00:00 17/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [12:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:00:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [13:00:00 28/05/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: DopAmine f1: BAG v1: 400 u1: mg m2: D5W f2: INJ v2: 250 u2: ml
t0: [14:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [13:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [13:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [13:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [13:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:30:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:30:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [13:30:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:30:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [13:30:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:30:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [13:30:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [13:30:00 17/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [13:30:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [13:30:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [14:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [14:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [14:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [13:30:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 600 vu: ml t0: [14:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 4 vu: ml t0: [14:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [14:00:00 17/05/2010] tf: [08:00:00 19/05/2010] dt: 2520 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [14:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:39:00 17/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 14.3974 u1: ml/dl st: NotStopd t0: [14:39:00 17/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -5 rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [14:39:00 17/05/2010] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 97 u1: % rs: Final st: NotStopd
t0: [14:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [14:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd
t0: [15:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd
t0: [14:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 17/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [14:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [15:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [15:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [16:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [16:00:00 17/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Line Placement st: NotStopd t0: [16:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml t0: [16:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml t0: [16:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [15:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd
t0: [17:05:00 17/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.8083 u1: ml/dl st: NotStopd t0: [17:05:00 17/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [17:05:00 17/05/2010] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
t0: [14:00:00 17/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned st: NotStopd t0: [17:00:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 12.3077 u1: ml/cmH st: NotStopd t0: [17:00:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [17:00:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [17:00:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [17:00:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [17:00:00 17/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [17:00:00 17/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [17:00:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:00:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:00:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:08:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.9 u1: % rs: Final st: NotStopd
t0: [14:22:00 17/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 92.1 rs: Final st: NotStopd
t0: [08:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 17/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [12:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 17/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 17/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [16:00:00 17/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Ecchymotic st: NotStopd t0: [16:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 17/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 17/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: Independent st: NotStopd t0: [16:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [16:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [17:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [17:00:00 17/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [17:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [18:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [18:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 17/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [18:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [18:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [18:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [18:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 17/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [18:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 17/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [17:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml t0: [17:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml t0: [18:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml
t0: [17:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: IH fr: Q4H fs: 18, 22, 2, 6, 10, 14 dn: 6 m1: Albuterol-Ipratropium f1: AERO v1: 2 u1: PUFF
t0: [19:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [19:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [19:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [19:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 17/05/2010] tf: [13:00:00 18/05/2010] dt: 1080 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 60 vu: ml
t0: [19:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 17/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 120 rs: Manual st: NotStopd
t0: [20:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 17/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 17/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [20:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 17/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 17/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 17/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [20:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 17/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 17/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 17/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 17/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 17/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 17/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 17/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [20:00:00 17/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 17/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [20:00:00 17/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 17/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 17/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [20:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 17/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 17/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 17/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 17/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 17/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 17/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 17/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 17/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 30 vu: ml t0: [20:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 12 vu: ml
t0: [20:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 290 ap: none
t0: [20:39:00 17/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 15.0376 u1: ml/cmH st: NotStopd t0: [20:39:00 17/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [20:39:00 17/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:39:00 17/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:39:00 17/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.5 st: NotStopd t0: [20:39:00 17/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:39:00 17/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:39:00 17/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [20:39:00 17/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:39:00 17/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:39:00 17/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.98 u1: L/min st: NotStopd t0: [20:39:00 17/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [20:39:00 17/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34.1 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29.9 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:39:00 17/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:39:00 17/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:39:00 17/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:39:00 17/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:39:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:39:00 17/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [20:39:00 17/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:39:00 17/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:39:00 17/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:39:00 17/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:39:00 17/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:08:00 17/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.984 u1: ml/dl st: NotStopd t0: [21:08:00 17/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -4 rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [21:08:00 17/05/2010] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 95 u1: % rs: Final st: NotStopd
tf: [21:00:00 18/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 22 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [07:00:00 19/05/2010] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg
id: Ultracal el: 1 cu: MICU cg: -1 io: Ultracal Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU cg: -1 io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [20:00:00 17/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 17/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 17/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 17/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [21:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [21:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [21:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [21:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 17/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [21:00:00 17/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 17/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [21:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [21:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [21:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [21:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [22:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 17/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [22:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [22:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [22:00:00 17/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 17/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [22:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 17/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 17/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [22:00:00 17/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 17/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 17/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [22:00:00 17/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [22:00:00 17/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [22:00:00 17/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 17/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 17/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 17/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 17/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 17/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [22:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 17/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 17/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [21:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml t0: [22:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [22:00:00 17/05/2010] tf: [12:00:00 18/05/2010] dt: 840 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml nb: 1 t0: [22:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 44 vu: ml
t0: [21:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thin st: NotStopd t0: [23:00:00 17/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 17/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 17/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 17/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 17/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 17/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 17/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [23:00:00 17/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 17/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 17/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 17/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [23:00:00 17/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:00:00 17/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 17/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 17/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 17/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 17/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [23:00:00 17/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 22 vu: ml
t0: [23:00:00 17/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 22 cv: 22 ap: none t0: [23:00:00 17/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 6 cv: 6 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 3768 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 28 cv: 4078 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 20 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 22 cv: 523 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 6 cv: 3555 ap: none t0: [23:00:00 17/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 22 cv: 523 ap: none
t0: [20:00:00 17/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 17/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 17/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 17/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [22:00:00 17/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 17/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 17/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 17/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [22:00:00 17/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 17/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 17/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 17/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 17/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 17/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 17/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 17/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 18/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 18/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [00:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 18/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 18/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 18/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [00:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [00:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 18/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 18/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [00:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 18/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 18/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [00:00:00 18/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [00:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [00:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 117 rs: Manual st: NotStopd t0: [00:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [00:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 32 vu: ml
t0: [00:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 18/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: RRT v1: 7.32 rs: Manual st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: RRT v1: 20 rs: Manual st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: RRT v1: 38 u1: mmHg rs: Manual st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: RRT v1: 114 u1: mmHg rs: Manual st: NotStopd t0: [00:00:00 18/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: RRT v1: 7.32 rs: Manual st: NotStopd t0: [00:49:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 15.748 u1: ml/cmH st: NotStopd t0: [00:49:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [00:49:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:49:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:49:00 18/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.5 st: NotStopd t0: [00:49:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:49:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:49:00 18/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [00:49:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:49:00 18/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:49:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:49:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.1 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.92 u1: L/min st: NotStopd t0: [00:49:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [00:49:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32.9 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29.8 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:49:00 18/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 2 u1: . st: NotStopd t0: [00:49:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:49:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:49:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:49:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:49:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:49:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [00:49:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:49:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:49:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:49:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:49:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:51:00 17/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [23:51:00 17/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -5 rs: Final st: NotStopd t0: [23:51:00 17/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [23:51:00 17/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [23:51:00 17/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [23:51:00 17/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [01:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [01:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 18/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [01:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [01:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [01:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml
t0: [01:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN pv: 10 cv: 10 ap: none t0: [23:00:00 18/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: RN pv: 247 cv: 247 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: RN pv: 207 cv: 4946 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: RN pv: 257 cv: 6156 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: RN pv: 50 cv: 800 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN pv: 10 cv: 543 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: RN pv: 247 cv: 5613 ap: none t0: [23:00:00 18/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN pv: 10 cv: 543 ap: none t0: [23:00:00 18/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: RN pv: 247 cv: 12942 ap: none
t0: [23:19:00 17/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 34.7 u1: % rs: Final st: NotStopd t0: [00:00:00 18/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 109.8 rs: Final st: NotStopd
t0: [02:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [02:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [02:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [02:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 126 u1: BPM st: NotStopd t0: [02:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 18/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 61.7 u1: kg st: NotStopd t0: [02:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [02:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 12 vu: ml
t0: [02:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [02:00:00 19/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 3 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [20:00:00 17/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [22:00:00 17/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [01:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [02:00:00 18/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 18/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [02:00:00 18/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 1 Person Assist st: NotStopd t0: [02:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: BehaviorReturned st: NotStopd t0: [02:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [03:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [03:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 18/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd
t0: [02:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml t0: [03:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [03:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml t0: [03:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [03:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 18/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 18/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 2 u1: mmHg st: NotStopd t0: [04:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 18/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 18/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [04:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [04:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 18/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 18/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: BehaviorSubsided st: NotStopd t0: [04:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [04:00:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [05:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 1 u1: mmHg st: NotStopd t0: [05:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [05:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [05:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [04:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml t0: [04:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml t0: [05:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [05:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml t0: [05:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [04:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:48:00 18/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 20.3 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 231 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.38 u1: /mic l rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 20.3 rs: Final st: NotStopd
t0: [04:48:00 18/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 118.1 rs: Final st: NotStopd
t0: [05:22:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.8067 u1: ml/cmH st: NotStopd t0: [05:22:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [05:22:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:22:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:22:00 18/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.5 st: NotStopd t0: [05:22:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:22:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:22:00 18/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT u1: Deg. C st: NotStopd t0: [05:22:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:22:00 18/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [05:22:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:22:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.7 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.08 u1: L/min st: NotStopd t0: [05:22:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [05:22:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31.3 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28.9 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:22:00 18/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 2 u1: . st: NotStopd t0: [05:22:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:22:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:22:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:22:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:22:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:22:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [05:22:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [05:22:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:22:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:22:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [05:22:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:48:00 18/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 6.9 u1: mg/dl rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 120 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [04:48:00 18/05/2010] id: ALT Enzymes el: 0 cu: MICU cg: 1663 v1: 64 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: AST Enzymes el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Alk. Phosphate Enzymes el: 0 cu: MICU cg: 1663 v1: 79 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 142 rs: Final st: NotStopd t0: [04:48:00 18/05/2010] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd
t0: [06:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [06:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [06:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 143 rs: Manual st: NotStopd
t0: [06:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [06:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [06:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 30 vu: ml
t0: [06:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 18/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd
t0: [07:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [07:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [07:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 18/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 18/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 18/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 18/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 18/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 18/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [08:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 18/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 18/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 18/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 18/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [08:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 18/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 18/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 18/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 18/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Golden v2: Soft st: NotStopd t0: [08:00:00 18/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Positive st: NotStopd t0: [08:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 18/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 18/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [07:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [07:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 12 vu: ml t0: [08:00:00 18/05/2010] tf: [17:22:00 19/05/2010] dt: 2002 id: Po Intake PO/Gastric el: 1 cu: MICU cg: -1 ai: 103 vo: 80 vu: ml t0: [08:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [08:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [08:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [09:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 250 vu: ml t0: [09:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [09:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [09:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 42 vu: ml
t0: [09:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 u1: kg st: NotStopd t0: [08:59:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 17.0213 u1: ml/cmH st: NotStopd t0: [08:59:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [08:59:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:59:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:59:00 18/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:2.5 st: NotStopd t0: [08:59:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [08:59:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [08:59:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:59:00 18/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [08:59:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:59:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13.9 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.01 u1: L/min st: NotStopd t0: [08:59:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [08:59:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:59:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:59:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:59:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:59:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:59:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [08:59:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:59:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:59:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [08:59:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [08:59:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [09:00:00 19/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Potassium Chloride f1: INJ v1: 40 u1: mEq m2: NS f2: INJ v2: 500 u2: ml
t0: [10:00:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RT v1: White v2: Thin st: NotStopd t0: [10:00:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RT v1: Suctioned v2: Small st: NotStopd
t0: [10:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [10:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [10:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [10:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [10:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [10:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:30:00 18/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 98.8 rs: Final st: NotStopd
t0: [12:00:00 18/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 154 rs: Manual st: NotStopd
t0: [08:00:00 18/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 18/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 18/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 18/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [10:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [10:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [11:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [11:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [11:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 18/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 18/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 18/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [12:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [12:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 18/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 18/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 st: NotStopd t0: [12:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 18/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [11:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [11:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [11:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [11:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [11:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [12:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [12:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [12:00:00 18/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 150 vu: ml t0: [12:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 45 vu: ml
t0: [11:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 250 vu: ml t0: [12:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml st: Stopped
t0: [13:00:00 18/05/2010] id: ETT Position Change el: 0 cu: MICU cg: -1 st: NotStopd t0: [13:00:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [13:38:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 18.6047 u1: ml/cmH st: NotStopd t0: [13:38:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [13:38:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:2.5 st: NotStopd t0: [13:38:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [13:38:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [13:38:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [13:38:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [13:38:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7 u1: L/min st: NotStopd t0: [13:38:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [13:38:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [13:38:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:38:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:38:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:38:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [13:38:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [13:38:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [13:38:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [13:38:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [13:38:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [13:38:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [13:38:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 18/05/2010] id: Cuff Pressure-Airway el: 0 cu: MICU cg: -1 u1: cmH2O st: NotStopd t0: [13:38:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd
t0: [13:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [13:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [13:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:15:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:15:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [13:15:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:15:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:15:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:15:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [13:15:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:15:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:15:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [13:15:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:15:00 18/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [13:15:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:15:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:15:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:30:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [13:30:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:30:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:30:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 119 u1: BPM st: NotStopd t0: [13:30:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:30:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [13:30:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 18/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [13:30:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:30:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:45:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:45:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [13:45:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:45:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:45:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:45:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 119 u1: BPM st: NotStopd t0: [13:45:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:45:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [13:45:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [13:45:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:45:00 18/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [13:45:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:45:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:45:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [14:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 18/05/2010] tf: [08:00:00 19/05/2010] dt: 1080 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [13:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml st: Stopped t0: [13:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml t0: [14:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [14:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml st: Restart t0: [14:00:00 18/05/2010] tf: [09:00:00 19/05/2010] dt: 1140 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml st: Restart t0: [14:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [13:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:15:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:45:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd
t0: [13:35:00 18/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 21.6 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.1 u1: % rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 232 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 21.6 rs: Final st: NotStopd
t0: [14:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 250 vu: ml
tf: [12:00:00 22/05/2010] pt: IV Piggyback rt: IV fr: Q8H fs: 15, 23, 7 dn: 3 m1: Ceftazidime f1: BAG v1: 1 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml
t0: [15:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [15:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [15:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [15:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [15:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [15:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [15:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 18/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: BATH el: 0 cu: MICU cg: -1 t0: [16:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 18/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 18/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 18/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [16:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 18/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Duoderm st: NotStopd t0: [16:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [16:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 18/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 18/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 18/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Insp Wheeze st: NotStopd t0: [16:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 18/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 18/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Amber v2: Sediment st: NotStopd t0: [16:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [17:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [16:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [16:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [16:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 20 vu: ml t0: [17:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 200 vu: ml t0: [17:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [17:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [17:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 15 vu: ml
t0: [16:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:35:00 18/05/2010] id: Differential-Bands Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Differential-Basos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Differential-Eos Hematology el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Differential-Lymphs Hematology el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Differential-Monos Hematology el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [13:35:00 18/05/2010] id: Differential-Polys Hematology el: 0 cu: MICU cg: 1663 v1: 83 rs: Final st: NotStopd
t0: [10:00:00 17/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 u1: kg st: NotStopd t0: [16:00:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.3265 u1: ml/cmH st: NotStopd t0: [16:00:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v2: Lip st: NotStopd t0: [16:00:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:2.5 st: NotStopd t0: [16:00:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 18/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13.5 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.3 u1: L/min st: NotStopd t0: [16:00:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [16:00:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [16:00:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [16:00:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [16:00:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 18/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 165 rs: Manual st: NotStopd
t0: [18:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [18:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [18:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [18:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [18:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 60 vu: ml
t0: [18:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd
t0: [17:00:00 18/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [17:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [17:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [18:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [18:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [18:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 250 vu: ml
t0: [18:00:00 18/05/2010] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [19:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 87 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [19:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 18/05/2010] id: Significant Events el: 0 cu: MICU cg: RN v1: Fluid Bolus st: NotStopd t0: [19:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 18/05/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml t0: [12:00:00 18/05/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml t0: [16:00:00 18/05/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml t0: [18:00:00 18/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [19:00:00 18/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 105 vo: 250 vu: ml nb: 1 t0: [19:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [19:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [19:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [19:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [19:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:30:00 18/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 59.1 rs: Final st: NotStopd
t0: [20:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 18/05/2010] tf: [17:22:00 19/05/2010] dt: 1282 id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: RN ai: 304 vo: 5 vu: ml t0: [20:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [20:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [20:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [20:00:00 18/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 18/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 18/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [20:00:00 18/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 18/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [20:00:00 18/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [20:00:00 18/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 18/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 18/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 18/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 18/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 18/05/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 18/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 18/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 18/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [20:00:00 18/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [20:00:00 18/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 18/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 18/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 18/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [20:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 18/05/2010] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 18/05/2010] id: IV #2 Insert Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 18/05/2010] id: IV #2 Site/Size el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 18/05/2010] id: IV Site Appear #2 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 18/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.6047 u1: ml/cmH st: NotStopd t0: [20:00:00 18/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [20:00:00 18/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 18/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 18/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 18/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 18/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 18/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 18/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [20:00:00 18/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [20:00:00 18/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 18/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 18/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 18/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [20:00:00 18/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 18/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 18/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 18/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 18/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Tenacious st: NotStopd t0: [19:00:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 18/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 18/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [20:00:00 18/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml
t0: [23:00:00 18/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 410 ap: none
t0: [20:00:00 18/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 18/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 18/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 18/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 18/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [20:00:00 18/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 18/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [20:00:00 18/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 18/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 18/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [20:00:00 18/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 18/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 18/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 18/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 18/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [20:00:00 18/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [20:00:00 18/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [20:00:00 18/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 18/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [20:00:00 18/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 18/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 10 st: NotStopd t0: [20:00:00 18/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd
t0: [21:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml nb: 1 t0: [21:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [21:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [21:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [21:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [22:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 128 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [22:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [22:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [22:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 19/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 19.5122 u1: ml/cmH st: NotStopd t0: [00:00:00 19/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [00:00:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 19/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.5 st: NotStopd t0: [00:00:00 19/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 19/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 19/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:00:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [00:00:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [00:00:00 19/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 19/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 19/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [00:00:00 19/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 19/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:00:00 19/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 19/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 18/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [23:00:00 18/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 18/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [23:00:00 18/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:00:00 18/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 18/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 126 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 18/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 18/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 18/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 18/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [00:00:00 19/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 19/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 19/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [23:00:00 18/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [23:00:00 18/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [23:00:00 18/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [23:00:00 18/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml t0: [00:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [00:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [00:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [00:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 10 vu: ml
t0: [23:00:00 18/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 19/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 cv: 2008 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 cv: 3248 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 650 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 440 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 cv: 2808 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 440 ap: none t0: [23:00:00 19/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 cv: 15750 ap: none
t0: [00:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 19/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 19/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:00:00 19/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 19/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 19/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 19/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 19/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 19/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 19/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 19/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [00:00:00 19/05/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 19/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:30:00 19/05/2010] id: Eye Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:30:00 19/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 15 degrees st: NotStopd t0: [00:30:00 19/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [00:30:00 19/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Good st: NotStopd t0: [00:30:00 19/05/2010] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:30:00 19/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:30:00 19/05/2010] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:30:00 19/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [00:30:00 19/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:40:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [00:40:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:45:00 19/05/2010] id: Pain Present el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:45:00 19/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Grimace Scale st: NotStopd t0: [00:45:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [00:45:00 19/05/2010] id: Pain Cause el: 0 cu: MICU cg: RN v1: Procedural st: NotStopd
t0: [00:00:00 19/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [00:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 19/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [01:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [01:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [01:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [02:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [01:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [01:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [01:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 50 vu: ml t0: [02:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [02:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [02:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [02:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 25 vu: ml
t0: [01:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 19/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [02:00:00 19/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.1 rs: Final st: NotStopd t0: [02:00:00 19/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 81.2 rs: Final st: NotStopd
t0: [00:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 19/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [00:00:00 19/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 19/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 19/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd t0: [00:00:00 19/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [00:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [00:00:00 19/05/2010] id: Pain Management el: 1 cu: MICU cg: RN v1: Repositioned v2: IV Push st: NotStopd t0: [00:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 19/05/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 19/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [02:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [03:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [03:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [03:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [04:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [04:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [03:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [03:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [03:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml t0: [04:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [04:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [04:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [03:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 19/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [04:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 19/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.1 u1: Deg. F st: NotStopd
t0: [05:00:00 19/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.7778 u1: ml/cmH st: NotStopd t0: [05:00:00 19/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v2: Lip st: NotStopd t0: [05:00:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 19/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 19/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 19/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:00:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.6 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [05:00:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 45 u1: L/m st: NotStopd t0: [05:00:00 19/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 19/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 19/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [05:00:00 19/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [05:00:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 19/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:00:00 19/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 19/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:13:00 19/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 177 u1: mmHg rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [05:13:00 19/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.3 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.6 u1: % rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 212 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.09 u1: /mic l rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 16.3 rs: Final st: NotStopd
t0: [05:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 116 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 127 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [05:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [05:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [05:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 35 vu: ml
t0: [05:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 19/05/2010] id: Previous Weight el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [05:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [05:00:00 19/05/2010] id: Weight Change el: 0 cu: MICU cg: RN v1: 0 u1: kg st: NotStopd t0: [05:00:00 19/05/2010] id: Daily Weight el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd
t0: [05:13:00 19/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 74.1 rs: Final st: NotStopd
t0: [05:13:00 19/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 20 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [05:13:00 19/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [05:00:00 19/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 19/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 19/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 19/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [05:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [05:00:00 19/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [05:00:00 19/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [05:00:00 19/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 19/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [05:00:00 19/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 19/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 19/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [05:00:00 19/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Bronchial st: NotStopd t0: [05:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 19/05/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 19/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 19/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 19/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [06:00:00 19/05/2010] id: Pain Level el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [06:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: Rare st: NotStopd t0: [06:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: PVC's st: NotStopd t0: [06:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [06:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 19/05/2010] id: Pain Cause el: 0 cu: MICU cg: RN v1: Movement/Turning st: NotStopd t0: [06:00:00 19/05/2010] id: Pain Level (Rest) el: 0 cu: MICU cg: RN v1: 5-Moderate st: NotStopd t0: [06:00:00 19/05/2010] id: Pain Management el: 1 cu: MICU cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [06:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [06:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 7 vu: ml t0: [06:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml t0: [06:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: RN vo: 20 vu: ml
t0: [06:00:00 19/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 19/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 150 vu: ml t0: [06:00:00 19/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: RN ai: 107 vo: 150 vu: ml
t0: [05:13:00 19/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 123 rs: Final st: NotStopd
t0: [07:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [07:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [07:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [07:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 19/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 19/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 19/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 19/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 19/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 19/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 19/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [08:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [08:00:00 19/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 19/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 19/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 19/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 19/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [08:00:00 19/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [08:00:00 19/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 19/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 19/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 19/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 19/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [08:00:00 19/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [08:00:00 19/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [08:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 19/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 19/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 19/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 19/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 19/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 19/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [08:00:00 19/05/2010] id: TF Residual Gastric/TF Residual el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [08:00:00 19/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 100 vu: ml
t0: [07:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 19/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 25 u1: mg
t0: [09:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [09:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [09:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [09:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml st: Stopped t0: [09:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml t0: [09:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [09:15:00 19/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RT v1: 18.6047 u1: ml/cmH st: NotStopd t0: [09:15:00 19/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RT v2: Lip st: NotStopd t0: [09:15:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [09:15:00 19/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 35 u1: BPM st: NotStopd t0: [09:15:00 19/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RT v1: 1:2.5 st: NotStopd t0: [09:15:00 19/05/2010] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [09:15:00 19/05/2010] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [09:15:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [09:15:00 19/05/2010] id: Intubation Date el: 0 cu: MICU cg: RT v1: 3 v2: 8 st: NotStopd t0: [09:15:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 5 st: NotStopd t0: [09:15:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [09:15:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 13.2 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 7.4 u1: L/min st: NotStopd t0: [09:15:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: Peak Flow el: 0 cu: MICU cg: RT v1: 45 u1: L/m st: NotStopd t0: [09:15:00 19/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RT v1: 29 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RT v1: 27 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [09:15:00 19/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RT v1: 0 u1: BPM st: NotStopd t0: [09:15:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 18 u1: BPM st: NotStopd t0: [09:15:00 19/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RT v1: 18 u1: BPM st: NotStopd t0: [09:15:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [09:15:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [09:15:00 19/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RT v1: 410 u1: ml/B st: NotStopd t0: [09:15:00 19/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RT v1: 400 u1: ml/B st: NotStopd t0: [09:15:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: Assist Control st: NotStopd t0: [09:15:00 19/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RT v1: 15 u1: # st: NotStopd t0: [09:15:00 19/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RT v1: 7200A st: NotStopd t0: [09:15:00 19/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RT v1: RAMP st: NotStopd
t0: [10:00:00 19/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 19/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 19/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [10:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 19/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 19/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 19/05/2010] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Movement/Turning st: NotStopd t0: [10:00:00 19/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 19/05/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [10:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 19/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 19/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [10:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 19/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 400 vu: ml st: Stopped t0: [08:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 100 vu: ml nb: 1 t0: [09:00:00 19/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 40 vu: ml t0: [09:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [11:25:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [11:25:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 6.1 u1: L/min st: NotStopd t0: [11:25:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [11:25:00 19/05/2010] id: Pressure Support el: 0 cu: MICU cg: RT v1: 20 u1: . st: NotStopd t0: [11:25:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 16 u1: BPM st: NotStopd t0: [11:25:00 19/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RT v1: 390 u1: ml/B st: NotStopd t0: [11:25:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: CPAP+PS st: NotStopd
t0: [12:00:00 19/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 123 rs: Manual st: NotStopd
tf: [11:00:00 20/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml
t0: [10:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 117 u1: BPM st: NotStopd t0: [11:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [11:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:30:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:30:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 132 u1: BPM st: NotStopd t0: [11:30:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:30:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [11:30:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [11:30:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:30:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:30:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:45:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:45:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [11:45:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:45:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 137 u1: BPM st: NotStopd t0: [11:45:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:45:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [11:45:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:45:00 19/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [11:45:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [11:45:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:45:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:45:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 19/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [12:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 19/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 19/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 19/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 19/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [12:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [12:00:00 19/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 19/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 19/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 19/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 19/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 19/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [12:00:00 19/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 19/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 19/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 19/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 19/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 19/05/2010] id: Pain Management el: 1 cu: MICU cg: -1 v2: Repositioned st: NotStopd t0: [12:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 19/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 19/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 19/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [12:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [12:00:00 19/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [12:00:00 19/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Bronchial st: NotStopd t0: [12:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [12:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 19/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 19/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 19/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 19/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [11:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [11:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml t0: [12:00:00 19/05/2010] id: Gastric Meds PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 25 vu: ml
t0: [09:00:00 19/05/2010] tf: [17:22:00 19/05/2010] dt: 502 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [09:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:44:00 19/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [12:44:00 19/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -3 rs: Final st: NotStopd t0: [12:44:00 19/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 21 rs: Final st: NotStopd t0: [12:44:00 19/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:44:00 19/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [12:44:00 19/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [12:44:00 19/05/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd
t0: [13:00:00 19/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RT v2: Lip st: NotStopd t0: [13:00:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 19/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 19/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 19/05/2010] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [13:00:00 19/05/2010] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [13:00:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 33.9 u1: Deg. C st: NotStopd t0: [13:00:00 19/05/2010] id: Intubation Date el: 0 cu: MICU cg: RT v1: 3 v2: 8 st: NotStopd t0: [13:00:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 4 st: NotStopd t0: [13:00:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [13:00:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 11.4 u1: cmH2O st: NotStopd t0: [13:00:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 8.5 u1: L/min st: NotStopd t0: [13:00:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [13:00:00 19/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [13:00:00 19/05/2010] id: Pressure Support el: 0 cu: MICU cg: RT v1: 20 u1: . st: NotStopd t0: [13:00:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 21 u1: BPM st: NotStopd t0: [13:00:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [13:00:00 19/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RT v1: 390 u1: ml/B st: NotStopd t0: [13:00:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: CPAP+PS st: NotStopd t0: [13:00:00 19/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RT v1: 15 u1: # st: NotStopd t0: [13:00:00 19/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RT v1: 7200A st: NotStopd
tf: [13:00:00 20/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: TP fr: TID:PRN m1: Miconazole Powder 2% f1: PWDR v1: 2 u1: Appl
t0: [12:00:00 19/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 19/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [13:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [13:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [13:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [13:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [13:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:30:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:30:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [13:30:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [13:30:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [13:30:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:30:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [13:30:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [13:30:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:30:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:30:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [14:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [14:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 19/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 117 u1: BPM st: NotStopd t0: [14:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 19/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 19/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 19/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 19/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 19/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [14:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [14:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [14:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 19/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 19/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 19/05/2010] tf: [17:22:00 19/05/2010] dt: 502 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [13:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 19/05/2010] tf: [17:22:00 19/05/2010] dt: 202 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml st: Restart t0: [13:00:00 19/05/2010] id: Free Water Bolus PO/Gastric el: 1 cu: MICU cg: -1 ai: 107 vo: 150 vu: ml t0: [14:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [14:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [14:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 35 vu: ml
t0: [11:30:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 590 ap: none
t0: [14:56:00 19/05/2010] id: Blood Products Hematology el: 0 cu: MICU cg: 1663 v1: Y rs: Final st: NotStopd
tf: [17:00:00 19/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 50 u1: mg
t0: [16:24:00 19/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RT v2: Lip st: NotStopd t0: [16:24:00 19/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [16:24:00 19/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [16:24:00 19/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RT v1: 35 u1: BPM st: NotStopd t0: [16:24:00 19/05/2010] id: Airway Size el: 0 cu: MICU cg: RT v1: 7.5 mm st: NotStopd t0: [16:24:00 19/05/2010] id: Airway Type el: 0 cu: MICU cg: RT v1: Endotracheal st: NotStopd t0: [16:24:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RT v1: 33.8 u1: Deg. C st: NotStopd t0: [16:24:00 19/05/2010] id: Intubation Date el: 0 cu: MICU cg: RT v1: 3 v2: 8 st: NotStopd t0: [16:24:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RT v1: 4 st: NotStopd t0: [16:24:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RT v1: 15 u1: cmH2O st: NotStopd t0: [16:24:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RT v1: 6 v2: Combivent st: NotStopd t0: [16:24:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RT v1: 12.5 u1: cmH2O st: NotStopd t0: [16:24:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RT v1: 10.3 u1: L/min st: NotStopd t0: [16:24:00 19/05/2010] id: PEEP Set el: 0 cu: MICU cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:24:00 19/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RT v1: Yes st: NotStopd t0: [16:24:00 19/05/2010] id: Pressure Support el: 0 cu: MICU cg: RT v1: 20 u1: . st: NotStopd t0: [16:24:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RT v1: 23 u1: BPM st: NotStopd t0: [16:24:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [16:24:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: RT v1: 99 u1: % st: NotStopd t0: [16:24:00 19/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RT v1: 390 u1: ml/B st: NotStopd t0: [16:24:00 19/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RT v1: CPAP+PS st: NotStopd t0: [16:24:00 19/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RT v1: 15 u1: # st: NotStopd t0: [16:24:00 19/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RT v1: 7200A st: NotStopd
t0: [14:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [15:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 123 u1: BPM st: NotStopd t0: [15:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [15:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [15:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 19/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 19/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 19/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 19/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [16:00:00 19/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 19/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 19/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 19/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 19/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 19/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 141 u1: BPM st: NotStopd t0: [16:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [16:00:00 19/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 19/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 19/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 19/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 19/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 19/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 19/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 19/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 19/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 19/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [16:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 19/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 19/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 19/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 19/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 19/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 19/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 19/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 19/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 19/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 19/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 19/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [15:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [15:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [16:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [17:00:00 19/05/2010] id: D5W 100.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 105 vo: 50 vu: ml t0: [17:00:00 19/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [17:00:00 19/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [17:00:00 19/05/2010] id: Urine Out Foley el: 1 cu: MICU cg: -1 vo: 40 vu: ml
t0: [15:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [14:29:00 20/05/2010] dt: 1265 cu: CCU de: MICU
t0: [17:00:00 19/05/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 19/05/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 19/05/2010] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 19/05/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 19/05/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [17:30:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: MICU st: NotStopd t0: [17:30:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [17:30:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:30:00 19/05/2010] id: Daily Wake Up el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [17:30:00 19/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v2: Lip st: NotStopd t0: [17:30:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [17:30:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [17:30:00 19/05/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [17:30:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 129 u1: BPM st: NotStopd t0: [17:30:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:30:00 19/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [17:30:00 19/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:30:00 19/05/2010] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 2.5 st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [17:30:00 19/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [17:30:00 19/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [17:30:00 19/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [17:30:00 19/05/2010] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [17:30:00 19/05/2010] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [17:30:00 19/05/2010] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [17:30:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [17:30:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 12.9 u1: cmH2O st: NotStopd t0: [17:30:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [17:30:00 19/05/2010] id: NBP el: 0 cu: CCU cg: -1 v1: 122 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [17:30:00 19/05/2010] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 97.3333 u1: mmHg st: NotStopd t0: [17:30:00 19/05/2010] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [17:30:00 19/05/2010] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [17:30:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [17:30:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [17:30:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:30:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:30:00 19/05/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:30:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:30:00 19/05/2010] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [17:30:00 19/05/2010] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [17:30:00 19/05/2010] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [17:30:00 19/05/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [17:30:00 19/05/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [17:30:00 19/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP st: NotStopd t0: [17:30:00 19/05/2010] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 15 u1: # st: NotStopd t0: [17:30:00 19/05/2010] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [17:30:00 19/05/2010] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [17:30:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:30:00 19/05/2010] tf: [14:29:00 20/05/2010] dt: 1259 id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
id: Packed RBC's el: 1 cu: CCU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [18:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [18:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [18:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 127 u1: BPM st: NotStopd t0: [18:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 109 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [18:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 19/05/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [19:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [19:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [19:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 19/05/2010] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/05/2010] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [19:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [19:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 19/05/2010] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 19/05/2010] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 112 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 19/05/2010] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 19/05/2010] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [19:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 19/05/2010] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 19/05/2010] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 19/05/2010] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 19/05/2010] tf: [14:29:00 20/05/2010] dt: 1169 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vu: ml nb: 1 t0: [19:00:00 19/05/2010] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 375 vu: ml
t0: [19:00:00 19/05/2010] id: Heparin el: 1 cu: CCU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/05/2010] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: -1 cv: 375 ap: none
t0: [20:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [20:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [20:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [20:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 19/05/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/05/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 19/05/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 19/05/2010] 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 19/05/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/05/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 19/05/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/05/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 19/05/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 19/05/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/05/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 19/05/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/05/2010] id: Seizure Activity el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 19/05/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 19/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/05/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [23:00:00 19/05/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 640 ap: none
t0: [20:00:00 19/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 19/05/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 19/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 19/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 19/05/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 19/05/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 19/05/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 19/05/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 19/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 19/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 19/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v2: Combivent st: NotStopd t0: [20:00:00 19/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.9 u1: cmH2O st: NotStopd t0: [20:00:00 19/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [20:00:00 19/05/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 19/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 19/05/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [20:00:00 19/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 19/05/2010] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 19/05/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
tf: [19:00:00 20/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [20:00:00 19/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/05/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 19/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 9 st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 10 st: NotStopd t0: [20:00:00 19/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/05/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 19/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [20:00:00 19/05/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/05/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/05/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/05/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 19/05/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/05/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 19/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 19/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 19/05/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 19/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 19/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 19/05/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 19/05/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 19/05/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [20:30:00 19/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:30:00 19/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:30:00 19/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [20:30:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:30:00 19/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:30:00 19/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:30:00 19/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd
t0: [21:00:00 19/05/2010] tf: [14:29:00 20/05/2010] dt: 1049 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 7 vu: ml
t0: [20:10:00 19/05/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 52.7 rs: Final st: NotStopd
t0: [21:00:00 19/05/2010] tf: [14:29:00 20/05/2010] dt: 1049 id: Pain Level/Response el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Change in Vitals st: NotStopd t0: [21:00:00 19/05/2010] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [21:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 19/05/2010] id: Daily Wake Up el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [21:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [21:00:00 19/05/2010] id: Pain Type el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [21:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 19/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [22:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 19/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 19/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [22:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [22:00:00 19/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [22:00:00 19/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 19/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 19/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 19/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 19/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 19/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 19/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 19/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [22:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [22:00:00 19/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 22/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 100 u1: mg
t0: [23:00:00 19/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [23:00:00 19/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 19/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 19/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 19/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [23:00:00 19/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 19/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 19/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 19/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [23:00:00 19/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 19/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 19/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [23:00:00 19/05/2010] 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 19/05/2010] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 280 cv: 280 ap: none t0: [23:00:00 19/05/2010] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -217 cv: -217 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 13 cv: 2051 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 63 cv: 4016 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 50 cv: 950 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 280 cv: 1675 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -217 cv: 2341 ap: none t0: [23:00:00 19/05/2010] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 280 cv: 1675 ap: none t0: [23:00:00 19/05/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -217 cv: 15283 ap: none
t0: [23:00:00 19/05/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 19/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 19/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [23:00:00 19/05/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 19/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 19/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 19/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [23:00:00 19/05/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [00:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 20/05/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/05/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/05/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 20/05/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/05/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 20/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 116 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 9 st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 10 st: NotStopd t0: [00:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [00:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/05/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 20/05/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 20/05/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/05/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/05/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [00:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 20/05/2010] id: Seizure Activity el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 20/05/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [00:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/05/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [00:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [00:00:00 20/05/2010] 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 20/05/2010] dt: 24 id: PO/Gastric In Total el: 1 cu: -1 cg: RN cv: 1040 ap: none
t0: [00:00:00 20/05/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 14.8148 u1: ml/cmH st: NotStopd t0: [00:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 20/05/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 20/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.5 st: NotStopd t0: [00:00:00 20/05/2010] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 20/05/2010] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [00:00:00 20/05/2010] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [00:00:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 14.1 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [00:00:00 20/05/2010] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [00:00:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 34.5 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 32.6 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [00:00:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 20/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 20/05/2010] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 15 u1: # st: NotStopd t0: [00:00:00 20/05/2010] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 20/05/2010] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [01:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [01:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [01:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 20/05/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [01:00:00 20/05/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [01:00:00 20/05/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [01:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [01:00:00 20/05/2010] 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 20/05/2010] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 20/05/2010] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 782 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 2422 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: Tube Feeds In Total el: 1 cu: -1 cg: RN cv: 600 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 1757 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: 665 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 1757 ap: none t0: [23:00:00 20/05/2010] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 15948 ap: none
tf: [01:00:00 21/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [01:30:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [01:30:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [01:30:00 20/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [01:30:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:30:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [01:30:00 20/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:30:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [01:30:00 20/05/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [02:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [02:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [02:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [02:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [02:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 19/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [22:00:00 19/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [02:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [03:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [03:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [03:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:04:00 20/05/2010] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [03:04:00 20/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd
t0: [03:00:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [03:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [03:00:00 20/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [04:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 20/05/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/05/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/05/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 20/05/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/05/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 9 st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 10 st: NotStopd t0: [04:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [04:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/05/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 20/05/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 20/05/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/05/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/05/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [04:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 20/05/2010] id: Seizure Activity el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 20/05/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [04:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/05/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/05/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [04:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [04:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:45:00 20/05/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 16.4609 u1: ml/cmH st: NotStopd t0: [03:45:00 20/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [03:45:00 20/05/2010] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [03:45:00 20/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [03:45:00 20/05/2010] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.5 st: NotStopd t0: [03:45:00 20/05/2010] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [03:45:00 20/05/2010] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [03:45:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [03:45:00 20/05/2010] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [03:45:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [03:45:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 8 v2: Combivent st: NotStopd t0: [03:45:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 14.1 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [03:45:00 20/05/2010] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 45 u1: L/m st: NotStopd t0: [03:45:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 31.8 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 28.7 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [03:45:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [03:45:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [03:45:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [03:45:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [03:45:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:45:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [03:45:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [03:45:00 20/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [03:45:00 20/05/2010] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 15 u1: # st: NotStopd t0: [03:45:00 20/05/2010] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [03:45:00 20/05/2010] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
tf: [03:00:00 21/05/2010] pt: Unit Dose rt: NG fr: ONCE fs: 4 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq
t0: [04:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [05:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [05:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [05:00:00 20/05/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [05:00:00 20/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [05:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 20/05/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [05:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [05:00:00 20/05/2010] 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 20/05/2010] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 116 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 178 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 1.4 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 145 rs: Final st: NotStopd
t0: [06:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [06:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 20/05/2010] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 112 u1: BPM st: NotStopd t0: [06:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [06:00:00 20/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [06:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [06:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [06:00:00 20/05/2010] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [06:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [06:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [06:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [06:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 20/05/2010] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [06:00:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [06:00:00 20/05/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [06:00:00 20/05/2010] 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 20/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 18.9 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 38.2 u1: % rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 280 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.09 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 18.9 rs: Final st: NotStopd
t0: [05:00:00 20/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.1 rs: Final st: NotStopd t0: [05:00:00 20/05/2010] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 68.5 rs: Final st: NotStopd
t0: [07:45:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [07:45:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:45:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:45:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:45:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 120 u1: BPM st: NotStopd t0: [07:45:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [07:45:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:45:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [07:45:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:45:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [07:45:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:45:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [07:45:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:45:00 20/05/2010] 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 20/05/2010] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 15.5039 u1: ml/cmH st: NotStopd t0: [08:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 20/05/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 20/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 20/05/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33.8 u1: Deg. C st: NotStopd t0: [08:00:00 20/05/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [08:00:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.3 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [08:00:00 20/05/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [08:00:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 33.3 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [08:00:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [08:00:00 20/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 20/05/2010] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 15 u1: # st: NotStopd t0: [08:00:00 20/05/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 20/05/2010] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [08:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 9 st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 10 st: NotStopd t0: [08:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [08:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 20/05/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [08:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 20/05/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 20/05/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [08:00:00 20/05/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [08:00:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/05/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [09:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [09:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/05/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [09:00:00 20/05/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 20/05/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 20/05/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 20/05/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [09:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 129 u1: BPM st: NotStopd t0: [09:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [09:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 20/05/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [09:00:00 20/05/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 20/05/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 20/05/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 20/05/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [09:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [09:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [09:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 20/05/2010] id: Seizure Activity el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [09:00:00 20/05/2010] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [09:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [09:00:00 20/05/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [07:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [08:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [09:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [08:00:00 20/05/2010] 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 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:30:00 20/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:30:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [09:30:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:30:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 3.9 u1: L/min st: NotStopd t0: [09:30:00 20/05/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:30:00 20/05/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 20 u1: . st: NotStopd t0: [09:30:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:30:00 20/05/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [09:30:00 20/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd
t0: [10:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Distraction st: NotStopd t0: [10:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [10:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 141 u1: BPM st: NotStopd t0: [10:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [10:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [10:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 20/05/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd
t0: [10:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [10:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [11:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [11:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [11:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 21/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 4 u1: gm m2: NS f2: INJ v2: 250 u2: ml
t0: [08:00:00 20/05/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/05/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 20/05/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 20/05/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 20/05/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/05/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 20/05/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 20/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [12:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 20/05/2010] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [12:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 20/05/2010] id: Diet Type el: 0 cu: CCU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 20/05/2010] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/05/2010] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 20/05/2010] id: Follows Commands el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/05/2010] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 20/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/05/2010] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 9 st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 3 v2: 10 st: NotStopd t0: [12:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/05/2010] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 20/05/2010] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 20/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: CCU cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 20/05/2010] id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Blister st: NotStopd t0: [12:00:00 20/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 20/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: CCU cg: RN v1: Purple st: NotStopd t0: [12:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Gluteal, Left st: NotStopd t0: [12:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/05/2010] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 20/05/2010] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 20/05/2010] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/05/2010] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [12:00:00 20/05/2010] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 20/05/2010] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 20/05/2010] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/05/2010] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 20/05/2010] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [12:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 20/05/2010] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 20/05/2010] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 20/05/2010] id: Seizure Activity el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 20/05/2010] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 20/05/2010] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 20/05/2010] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 20/05/2010] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [12:00:00 20/05/2010] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 20/05/2010] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 20/05/2010] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [12:00:00 20/05/2010] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [12:00:00 20/05/2010] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 20/05/2010] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/05/2010] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/05/2010] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/05/2010] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [12:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 20/05/2010] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 20/05/2010] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [12:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 20/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: CoWker v1: 163 rs: Manual st: NotStopd
t0: [12:30:00 20/05/2010] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:30:00 20/05/2010] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 20/05/2010] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:30:00 20/05/2010] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:30:00 20/05/2010] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:30:00 20/05/2010] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 20/05/2010] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [12:30:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [12:30:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:30:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.2 u1: cmH2O st: NotStopd t0: [12:30:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [12:30:00 20/05/2010] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:30:00 20/05/2010] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [12:30:00 20/05/2010] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 20 u1: . st: NotStopd t0: [12:30:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:30:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:30:00 20/05/2010] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [12:30:00 20/05/2010] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:30:00 20/05/2010] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:30:00 20/05/2010] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [12:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN u1: mmHg st: NotStopd t0: [13:00:00 20/05/2010] id: Service Type el: 0 cu: CCU cg: RN v1: MICU st: NotStopd t0: [13:00:00 20/05/2010] id: CVP el: 0 cu: CCU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 20/05/2010] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 20/05/2010] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 20/05/2010] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 20/05/2010] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 20/05/2010] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 20/05/2010] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [13:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 20/05/2010] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 20/05/2010] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/05/2010] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:54:00 04/06/2010] dt: 21505 cu: MICU di: No Disch Status
t0: [14:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 20/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [14:30:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:30:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:30:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:30:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [14:30:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:30:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:30:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:30:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:30:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [14:30:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:30:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [14:30:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:30:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:30:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [14:30:00 20/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [14:30:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:30:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:30:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [14:30:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:30:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:30:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:30:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:30:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:30:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:30:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:30:00 20/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd
t0: [14:30:00 20/05/2010] tf: [14:00:00 22/05/2010] dt: 2850 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 7.5 vu: ml t0: [14:30:00 20/05/2010] tf: [14:00:00 22/05/2010] dt: 2850 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 12 vu: ml
t0: [14:30:00 20/05/2010] tf: [13:00:00 22/05/2010] dt: 2790 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 20/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [15:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [15:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [15:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd
t0: [15:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:30:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd
tf: [14:00:00 21/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg tf: [14:00:00 21/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Lorazepam f1: SYR v1: 1 u1: mg
t0: [15:05:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:05:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [15:05:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:05:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:05:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:05:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 121 u1: BPM st: NotStopd t0: [15:05:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:05:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 168 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [15:05:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg st: NotStopd t0: [15:05:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:05:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [15:05:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:05:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:05:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:30:00 20/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd
t0: [15:05:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 20/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:30:00 20/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [16:00:00 20/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.7364 u1: ml/cmH st: NotStopd t0: [16:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 20/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 20/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 20/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 20/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [16:00:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [16:00:00 20/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [16:00:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31.4 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27.6 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [16:00:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 20/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 20/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [16:00:00 20/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 20/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [12:00:00 22/05/2010] pt: Unit Dose rt: PO fr: Q24H fs: 16 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg tf: [15:00:00 23/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT tf: [09:00:00 24/05/2010] pt: Unit Dose rt: NEB fr: Q4-6H m1: Acetylcysteine 20% f1: INJ v1: 6-10 u1: ml
t0: [16:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 20/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 20/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 20/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [16:00:00 20/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 20/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 10 st: NotStopd t0: [16:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 20/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [16:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 20/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 20/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 20/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [16:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [16:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 20/05/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 20/05/2010] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 20/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 20/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 20/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 20/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 20/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 20/05/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 20/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 7.5 vu: ml t0: [16:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12 vu: ml t0: [16:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [16:00:00 20/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 20/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [16:00:00 20/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [16:00:00 20/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 100.6 u1: Deg. F st: NotStopd
t0: [17:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [17:00:00 20/05/2010] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 97 u1: BPM st: NotStopd t0: [17:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [17:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [17:00:00 20/05/2010] tf: [11:00:00 21/05/2010] dt: 1080 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml
t0: [17:00:00 20/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 20/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [16:00:00 20/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 20/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: RN v1: Blister st: NotStopd t0: [16:00:00 20/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 20/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: RN v1: Purple st: NotStopd t0: [18:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 20/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: RN v1: Not Applicable st: NotStopd t0: [18:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 108 u1: BPM st: NotStopd t0: [18:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [18:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: RN v1: 71.2 u1: kg st: NotStopd t0: [18:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [18:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 20/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 112 rs: Manual st: NotStopd
t0: [18:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [18:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml
t0: [18:00:00 20/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [19:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [19:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [19:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [19:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:30:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:30:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [19:30:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:30:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:30:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:30:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [19:30:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:30:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:30:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [19:30:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:30:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [19:30:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [19:30:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:30:00 20/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [19:30:00 20/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2778 u1: Deg. C st: NotStopd t0: [19:30:00 20/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.1 u1: Deg. F st: NotStopd t0: [19:30:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:30:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Family at Bedsid st: NotStopd t0: [20:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 20/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 20/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 20/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 20/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 20/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [20:00:00 20/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 20/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 20/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 20/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 20/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Purple st: NotStopd t0: [20:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 20/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 20/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 20/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 20/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 20/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 20/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 20/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 20/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 20/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 20/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 20/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 20/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 20/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 20/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 20/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 20/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 20/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 20/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd t0: [20:00:00 20/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 20/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [20:00:00 20/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [19:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [23:00:00 20/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 1600 ap: none
t0: [20:00:00 20/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.0213 u1: ml/cmH st: NotStopd t0: [20:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 20/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 20/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 20/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 20/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.2 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [20:00:00 20/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [20:00:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [20:00:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 20/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 20/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 20/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 20/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [20:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [20:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 20/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [21:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [21:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [21:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [21:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [21:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 20/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [21:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [21:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [21:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [21:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [21:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [21:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [21:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 20/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [22:00:00 20/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [22:00:00 20/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd
t0: [21:16:00 20/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.5 rs: Final st: NotStopd
t0: [22:00:00 20/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.6047 u1: ml/cmH st: NotStopd t0: [22:00:00 20/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [22:00:00 20/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 20/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 20/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 20/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [22:00:00 20/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [22:00:00 20/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [22:00:00 20/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [22:00:00 20/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [22:00:00 20/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [22:00:00 20/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [22:00:00 20/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [22:00:00 20/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [22:00:00 20/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [22:00:00 20/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [22:00:00 20/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [22:00:00 20/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [22:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [22:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [22:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 2064 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 2064 ap: none
t0: [22:00:00 20/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 20/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 20/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 20/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 20/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 20/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 20/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd
t0: [23:00:00 20/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 20/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 20/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 20/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 20/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [23:00:00 20/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 20/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 20/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 20/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 20/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [23:00:00 20/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:00:00 20/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 20/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [00:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [00:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 20/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 20/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 20/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [00:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [23:00:00 20/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 48 cv: 48 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 1437 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 48 cv: 3817 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 30 cv: 780 ap: none t0: [23:00:00 20/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 48 cv: 1753 ap: none t0: [23:00:00 20/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 48 cv: 17036 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 1122 ap: none
t0: [23:00:00 20/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [23:00:00 20/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 20/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [23:00:00 20/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [23:00:00 20/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 20/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 20/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 20/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [23:00:00 20/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [23:00:00 20/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [23:00:00 20/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 20/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 21/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 21/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 21/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 21/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [00:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 21/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 21/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 21/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 21/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 21/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Purple st: NotStopd t0: [00:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 21/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 21/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 21/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 21/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 21/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [23:00:00 21/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: RN cv: 0 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: RN cv: 910 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: RN cv: 910 ap: carryForward
t0: [00:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [00:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.1 u1: Deg. F st: NotStopd
t0: [00:00:00 21/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 121 rs: Manual st: NotStopd
t0: [21:00:00 20/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [21:00:00 20/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 21/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 21/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 21/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 21/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [00:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 21/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 1110 ap: none
t0: [00:00:00 21/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd
t0: [00:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [23:00:00 21/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 18 cv: 18 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 18 cv: 3047 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 0 cv: 815 ap: none t0: [23:00:00 21/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 18 cv: 2137 ap: carryForward t0: [23:00:00 21/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 18 cv: 19173 ap: carryForward
t0: [01:00:00 21/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 21/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [01:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [01:00:00 21/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 21/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Right Leg st: NotStopd t0: [01:00:00 21/05/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Repositioned st: NotStopd t0: [01:00:00 21/05/2010] id: Pain Type el: 0 cu: MICU cg: -1 st: NotStopd t0: [01:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [01:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [01:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [02:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [02:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [02:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [02:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [02:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [03:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [03:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [03:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [03:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [02:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 21/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 21/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 21/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 21/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 21/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [04:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [04:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Drainage st: NotStopd t0: [04:00:00 21/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 21/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 21/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [04:00:00 21/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 21/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [04:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [04:00:00 21/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 21/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 21/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 21/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 21/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 21/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 21/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [04:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [04:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [04:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [04:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100 u1: Deg. F st: NotStopd
t0: [03:40:00 21/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.8 u1: % rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 219 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.3 rs: Final st: NotStopd
t0: [01:00:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.7778 u1: ml/cmH st: NotStopd t0: [01:00:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [01:00:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [01:00:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [01:00:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.9 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [01:00:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [01:00:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [01:00:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [01:00:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [01:00:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [01:00:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [03:00:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.0213 u1: ml/cmH st: NotStopd t0: [03:00:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [03:00:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [03:00:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [03:00:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [03:00:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [03:00:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [03:00:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.5 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [03:00:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [03:00:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [03:00:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [03:00:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [03:00:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:00:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [03:00:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [03:00:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [03:00:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [03:00:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [03:40:00 21/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 12 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.1 u1: mg/dl rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 109 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [03:40:00 21/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:40:00 21/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.5 rs: Final st: NotStopd
t0: [04:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 21/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 21/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: Serous v2: Large st: NotStopd t0: [04:00:00 21/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 21/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [05:00:00 21/05/2010] id: Pain Level el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [05:00:00 21/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 21/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [05:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [05:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [05:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [05:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 21/05/2010] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: 4-Mild to Mod st: NotStopd t0: [05:00:00 21/05/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: Repositioned st: NotStopd t0: [05:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [05:00:00 21/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 21/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 500 vu: ml t0: [05:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [05:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [05:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:40:00 21/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 73.3 rs: Final st: NotStopd
t0: [05:00:00 21/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Fluid Bolus st: NotStopd
t0: [05:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [05:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [05:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [05:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [05:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [05:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd
t0: [04:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Frothy st: NotStopd t0: [04:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [06:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Frothy st: NotStopd t0: [06:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [06:00:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 15.0943 u1: ml/cmH st: NotStopd t0: [06:00:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [06:00:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:00:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [06:00:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [06:00:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [06:00:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.8 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [06:00:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [06:00:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [06:00:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [06:00:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [06:00:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [06:00:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [06:00:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [06:00:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [06:00:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [06:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [06:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 21/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 145 rs: Manual st: NotStopd
t0: [07:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [07:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [07:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [07:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [07:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 21/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [07:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:55:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 14.0351 u1: ml/cmH st: NotStopd t0: [07:55:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [07:55:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:55:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:55:00 21/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.2 st: NotStopd t0: [07:55:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:55:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [07:55:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:55:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:55:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [07:55:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.7 u1: L/min st: NotStopd t0: [07:55:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 55 u1: L/m st: NotStopd t0: [07:55:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:55:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:55:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:55:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:55:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:55:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:55:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [07:55:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:55:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 430 u1: ml/B st: NotStopd t0: [07:55:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [07:55:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [07:55:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:55:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [07:55:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [07:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [07:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [07:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [07:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [07:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [07:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [07:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [07:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [07:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [07:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 21/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 21/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 21/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 21/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 21/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 21/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [08:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [08:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 21/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 21/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 21/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 21/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [08:00:00 21/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: Serous st: NotStopd t0: [08:00:00 21/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 21/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 21/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 21/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 21/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 21/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 21/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 21/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 21/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 21/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 21/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 21/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 21/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 21/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [08:00:00 21/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [08:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [08:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd
t0: [08:00:00 21/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd
t0: [08:00:00 21/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [09:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [09:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [09:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [09:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl f1: TAB v1: 10 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) f1: SUPP v1: 10 u1: mg
t0: [10:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [10:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [10:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [10:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Appropriate st: NotStopd
t0: [10:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [10:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [10:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [10:00:00 21/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: -1 v1: muco st: NotStopd t0: [10:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [10:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [10:37:00 21/05/2010] id: Ionized Calcium Chemistry el: 0 cu: MICU cg: 1663 v1: 1.06 rs: Final st: NotStopd
t0: [10:37:00 21/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [10:37:00 21/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [10:37:00 21/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [10:37:00 21/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 21/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 21/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [11:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [11:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [11:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [11:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml st: Stopped
t0: [10:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [11:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [12:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 21/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [12:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 21/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 21/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 21/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 21/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 21/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [12:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [12:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 21/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 21/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 21/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 21/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 21/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 21/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 21/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 21/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 21/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 21/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 21/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 21/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 21/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 21/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 21/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 21/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 21/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [12:00:00 21/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 21/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 156 rs: Manual st: NotStopd t0: [12:00:00 21/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 21/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 21/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [12:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [13:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [13:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [13:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [13:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [13:00:00 22/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Calcium Gluconate f1: INJ v1: 2 u1: gm
t0: [14:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [14:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [14:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml st: Restart
t0: [11:00:00 21/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [15:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [15:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:11:00 21/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.53 rs: Final st: NotStopd t0: [15:11:00 21/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 1 rs: Final st: NotStopd t0: [15:11:00 21/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [15:11:00 21/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [15:11:00 21/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [15:11:00 21/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.53 rs: Final st: NotStopd
t0: [16:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [16:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [16:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [16:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16 vu: ml t0: [16:00:00 21/05/2010] tf: [17:00:00 21/05/2010] dt: 60 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 100 vu: ml
t0: [16:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 21/05/2010] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 21/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [15:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Medicated st: NotStopd t0: [17:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [17:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 21/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 21/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 21/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [17:00:00 21/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 21/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [17:00:00 21/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [17:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 10 st: NotStopd t0: [17:00:00 21/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [17:00:00 21/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [17:00:00 21/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 21/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [17:00:00 21/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [17:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 21/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [17:00:00 21/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 21/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 21/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [17:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [17:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 21/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 21/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [17:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 21/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [17:00:00 21/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [17:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [17:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Logroll st: NotStopd t0: [17:00:00 21/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 21/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 21/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 21/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [13:00:00 21/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [15:00:00 21/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium t0: [17:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [17:00:00 21/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Large
t0: [17:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/05/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: RN cv: 0 ap: carryForward
t0: [17:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml st: Stopped
t0: [17:00:00 21/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 163 rs: Manual st: NotStopd
t0: [17:30:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 12.1581 u1: ml/cmH st: NotStopd t0: [17:30:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:30:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:30:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:30:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:30:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [17:30:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:30:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:30:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [17:30:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:30:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15.3 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6 u1: L/min st: NotStopd t0: [17:30:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [17:30:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 40.4 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26.3 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:30:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [17:30:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [17:30:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:30:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:30:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:30:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [17:30:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:30:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:30:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:30:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [17:30:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [18:30:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [18:30:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4 vu: ml t0: [18:30:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml st: Restart
t0: [17:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [19:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [19:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:40:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [18:40:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:40:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:40:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:40:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [18:40:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [18:40:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:40:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [18:40:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [18:40:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:40:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.2 u1: cmH2O st: NotStopd t0: [18:40:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [18:40:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [18:40:00 21/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [18:40:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:40:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [18:40:00 21/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [18:40:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:40:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [18:40:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [19:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4 vu: ml t0: [19:00:00 21/05/2010] tf: [20:00:00 21/05/2010] dt: 60 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 35 vu: ml
t0: [16:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd
t0: [19:21:00 21/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [19:21:00 21/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [19:21:00 21/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [19:21:00 21/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [19:21:00 21/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [19:21:00 21/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [20:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 124 u1: BPM st: NotStopd t0: [20:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 21/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 161 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [20:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [20:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/05/2010] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd t0: [20:00:00 21/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 21/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [20:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 21/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 21/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [20:00:00 21/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd
t0: [20:30:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:30:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:30:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [20:30:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 147 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:30:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [20:30:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:30:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:30:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [20:30:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:35:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:35:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:35:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:35:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 120 u1: BPM st: NotStopd t0: [20:35:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 157 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:35:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [20:35:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:35:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 36 u1: BPM st: NotStopd t0: [20:35:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 91 u1: % st: NotStopd t0: [20:35:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:40:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:40:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:40:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:40:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [20:40:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:40:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:40:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:40:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:40:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:40:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:45:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:45:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [20:45:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:45:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:45:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [20:45:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:45:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:35:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:40:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:45:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:45:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd
t0: [20:50:00 21/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 13.3333 u1: ml/cmH st: NotStopd t0: [20:50:00 21/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:50:00 21/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:50:00 21/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 21/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.7 st: NotStopd t0: [20:50:00 21/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 21/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: None st: NotStopd t0: [20:50:00 21/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:50:00 21/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:50:00 21/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:50:00 21/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 10 v2: Combivent st: NotStopd t0: [20:50:00 21/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.4 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT st: NotStopd t0: [20:50:00 21/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [20:50:00 21/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:50:00 21/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 37.5 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 28.6 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:50:00 21/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:50:00 21/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:50:00 21/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:50:00 21/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [20:50:00 21/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White st: NotStopd t0: [20:50:00 21/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:50:00 21/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:50:00 21/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:50:00 21/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:50:00 21/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:50:00 21/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 21/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [21:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [21:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [21:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 70 vu: ml st: Stopped t0: [21:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [21:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml
t0: [21:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:30:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [21:30:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:30:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [21:30:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:30:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [21:30:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 90 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:30:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [21:30:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [21:30:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:30:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [21:30:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [22:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml
t0: [21:30:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:45:00 21/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [21:45:00 21/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: -1 rs: Final st: NotStopd t0: [21:45:00 21/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [21:45:00 21/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [21:45:00 21/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [21:45:00 21/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [22:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 115 u1: BPM st: NotStopd t0: [22:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 21/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 21/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 21/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 21/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 21/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 21/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 21/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 21/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd
t0: [23:00:00 21/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 21/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 21/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 21/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 21/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 21/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [23:00:00 21/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 21/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 21/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 21/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 21/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 21/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 21/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 21/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [23:00:00 21/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd
t0: [23:00:00 21/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [00:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [00:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 21/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 21/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [22:00:00 21/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 21/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 21/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [22:00:00 21/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [22:00:00 21/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 21/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 21/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 21/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 21/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 21/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 21/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 21/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 8 u1: points st: NotStopd t0: [00:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [00:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 22/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Pain st: NotStopd t0: [00:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 22/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [05:00:00 21/05/2010] id: Previous WeightF el: 0 cu: MICU cg: -1 u1: kg st: NotStopd t0: [00:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [00:00:00 22/05/2010] id: Previous Weight el: 0 cu: MICU cg: -1 v1: 71.2 u1: kg st: NotStopd t0: [00:00:00 22/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 22/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 22/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:35:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.6916 u1: ml/cmH st: NotStopd t0: [00:35:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:35:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:35:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:35:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.7 st: NotStopd t0: [00:35:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:35:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:35:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:35:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:35:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:35:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:35:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.3 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [00:35:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:35:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28.9 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24.4 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:35:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:35:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:35:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:35:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:35:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:35:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [00:35:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:35:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [00:35:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:35:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:35:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 22/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 106 rs: Manual st: NotStopd
t0: [01:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [01:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [01:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [01:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [02:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [02:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [02:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [02:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [02:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [02:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 185 ap: none
t0: [03:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [03:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [03:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [03:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [02:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [02:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [02:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 22/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [04:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [04:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 22/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [04:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 22/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 22/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [04:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 22/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 22/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [04:00:00 22/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [04:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [04:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [04:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:15:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 10.6667 u1: ml/cmH st: NotStopd t0: [04:15:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:15:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:15:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:15:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:4.7 st: NotStopd t0: [04:15:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:15:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:15:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:15:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:15:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [04:15:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [04:15:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.6 u1: L/min st: NotStopd t0: [04:15:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:15:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 33.6 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:15:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:15:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:15:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:15:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:15:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [04:15:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:15:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:15:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:15:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [04:15:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [05:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [05:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [05:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [06:00:00 22/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 98 rs: Manual st: NotStopd
t0: [05:35:00 22/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17.3 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 285 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.42 u1: /mic l rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17.3 rs: Final st: NotStopd
t0: [05:35:00 22/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 79.3 rs: Final st: NotStopd
t0: [06:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [06:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [06:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [06:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [06:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [06:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [06:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [06:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [06:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [06:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:35:00 22/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 107 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [05:35:00 22/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [08:00:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.0213 u1: ml/cmH st: NotStopd t0: [08:00:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [08:00:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [08:00:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [08:00:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [08:00:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 22/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 22/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [08:00:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [08:00:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [08:00:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 22/05/2010] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd
t0: [08:00:00 22/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd
t0: [07:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [07:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [07:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 22/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 22/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [08:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 22/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 22/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 22/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 22/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Insp Wheeze st: NotStopd t0: [08:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [08:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 22/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 22/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 22/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 22/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 22/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [08:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 22/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [07:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [07:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [08:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [08:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [07:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [09:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 22/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 22/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 47.3333 u1: mmHg st: NotStopd t0: [09:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [09:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [09:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [09:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:17:00 22/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [09:17:00 22/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 0 rs: Final st: NotStopd t0: [09:17:00 22/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [09:17:00 22/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [09:17:00 22/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [09:17:00 22/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [10:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [10:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [10:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 22/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 22/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [10:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [10:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 22/05/2010] id: Vital Cap (>1.0)L el: 0 cu: MICU cg: -1 st: D/C'd
t0: [12:00:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.3265 u1: ml/cmH st: NotStopd t0: [12:00:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:00:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 3.3 st: NotStopd t0: [12:00:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [12:00:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [12:00:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:00:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:00:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [12:00:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [12:00:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:00:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
tf: [10:00:00 25/05/2010] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Dexamethasone f1: INJ v1: 4 u1: mg
t0: [10:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [10:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [11:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [11:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 22/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 22/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75.6667 u1: mmHg st: NotStopd t0: [11:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 22/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: CT scan st: NotStopd t0: [11:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 22/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 22/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [12:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 22/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Lethargic st: NotStopd t0: [12:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 22/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [12:00:00 22/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 95.6667 u1: mmHg st: NotStopd t0: [12:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 22/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 22/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 22/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 22/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 22/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 22/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 22/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 22/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [11:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [11:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [12:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [12:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [11:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 22/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 97 rs: Manual st: NotStopd
tf: [09:00:00 24/05/2010] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Vancomycin HCl f1: INJ v1: 500 u1: mg m2: D5W f2: INJ v2: 150 u2: ml tf: [17:00:00 04/06/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Ceftazidime f1: BAG v1: 1 u1: gm m2: Iso-Osmotic Dextrose f2: INJ v2: 50 u2: ml tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: Q24H fs: 15 dn: 1 m1: Levofloxacin f1: TAB v1: 250 u1: mg
t0: [13:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [13:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 v1: Bleeding st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [13:00:00 22/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 22/05/2010] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [13:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [13:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [13:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [14:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [13:00:00 22/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: EEG st: NotStopd
t0: [13:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [13:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [15:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [15:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [15:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 22/05/2010] id: INV Line#2 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 22/05/2010] id: INV Line#2 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 22/05/2010] id: INV Line#2SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [16:00:00 22/05/2010] id: INV#2 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd
tf: [09:00:00 23/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 50 u1: mg
t0: [14:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [14:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 22/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 22/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 22/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 22/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 22/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 22/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [16:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [16:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#2InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 10 st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 22/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 22/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [16:00:00 22/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 22/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 22/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [16:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 22/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 22/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 22/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 22/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 22/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 22/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 22/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [14:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml st: Stopped t0: [14:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml st: Stopped t0: [14:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [15:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml t0: [16:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [17:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [17:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/05/2010] tf: [07:00:00 28/05/2010] dt: 8040 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml st: Restart t0: [17:00:00 22/05/2010] tf: [16:00:00 31/05/2010] dt: 12900 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml st: Restart t0: [17:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [17:00:00 22/05/2010] id: O2 Delivery Device el: 0 cu: MICU cg: -1 st: D/C'd t0: [17:00:00 22/05/2010] id: O2 Flow (lpm) el: 0 cu: MICU cg: -1 st: D/C'd
t0: [17:00:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.6047 u1: ml/cmH st: NotStopd t0: [17:00:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:00:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [17:00:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [17:00:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [17:00:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:00:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [17:00:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:00:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:00:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 22/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: 4mlMuco st: NotStopd
t0: [18:00:00 22/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 79 rs: Manual st: NotStopd
tf: [17:00:00 23/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [18:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 128 u1: BPM st: NotStopd t0: [18:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [18:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [18:00:00 22/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [17:00:00 22/05/2010] tf: [07:00:00 28/05/2010] dt: 8040 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 8 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:53:00 22/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 41.8 rs: Final st: NotStopd
t0: [19:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [19:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [19:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [19:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [20:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 22/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 22/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 22/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 22/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [20:00:00 22/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 22/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 22/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 22/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 22/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [20:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 22/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 22/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 22/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 22/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 22/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 22/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 22/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 22/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 22/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 22/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 22/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 22/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 22/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 22/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 22/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 22/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 22/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 22/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 22/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [20:00:00 22/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 22/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 22/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 22/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 22/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 22/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 22/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [20:20:00 22/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 19.3237 u1: ml/cmH st: NotStopd t0: [20:20:00 22/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:20:00 22/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:20:00 22/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:20:00 22/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [20:20:00 22/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:20:00 22/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:20:00 22/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [20:20:00 22/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:20:00 22/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [20:20:00 22/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:20:00 22/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.8 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [20:20:00 22/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:20:00 22/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28.2 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23.5 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:20:00 22/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:20:00 22/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:20:00 22/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:20:00 22/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:20:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:20:00 22/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [20:20:00 22/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:20:00 22/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [20:20:00 22/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:20:00 22/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:20:00 22/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [21:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [21:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [21:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [21:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [21:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [22:00:00 22/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 22/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 22/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 22/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [22:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 22/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 22/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 22/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 22/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 22/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 22/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 22/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 22/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 22/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 22/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 22/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 22/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 22/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 22/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 22/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [22:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [23:00:00 22/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 22/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 22/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 22/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 22/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 22/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [23:00:00 22/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 22/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 22/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 22/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 22/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 22/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 22/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 22/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [23:00:00 22/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 19 cv: 1051 ap: none t0: [23:00:00 22/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 19 cv: 1236 ap: none t0: [23:00:00 22/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 0 ap: none
t0: [00:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 23/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 23/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 23/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [00:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 23/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 23/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 23/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 23/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [00:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 23/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 23/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 23/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 23/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 23/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 23/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 23/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 23/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 23/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 23/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 23/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 23/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 23/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 23/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 23/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 23/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: None st: NotStopd t0: [00:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 23/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 23/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 23/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 23/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 23/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 98 rs: Manual st: NotStopd t0: [00:00:00 23/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [00:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [23:00:00 22/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 110 cv: 110 ap: none t0: [23:00:00 22/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -91 cv: -91 ap: none t0: [23:00:00 22/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 110 cv: 2785 ap: none t0: [23:00:00 22/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -91 cv: -1549 ap: none t0: [23:00:00 22/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 110 cv: 2785 ap: none t0: [23:00:00 22/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -91 cv: 17624 ap: carryForward
t0: [01:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [01:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [01:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [01:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [01:25:00 23/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 19.5122 u1: ml/cmH st: NotStopd t0: [01:25:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [01:25:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:25:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:25:00 23/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [01:25:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:25:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:25:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [01:25:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [01:25:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [01:25:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:25:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [01:25:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [01:25:00 23/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 21.2 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [01:25:00 23/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:25:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:25:00 23/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:25:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:25:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:25:00 23/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [01:25:00 23/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [01:25:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:25:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [01:25:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [01:25:00 23/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [02:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [02:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [02:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [02:15:00 23/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.8 u1: % rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 343 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.2 rs: Final st: NotStopd
t0: [03:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [03:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [03:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [02:15:00 23/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 93.4 rs: Final st: NotStopd
t0: [02:15:00 23/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 23 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 121 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [02:15:00 23/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [03:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 23/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 23/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 23/05/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 23/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 23/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 23/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 23/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [04:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 23/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 23/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 23/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 23/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 23/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 23/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 23/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 23/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 23/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 23/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 23/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 23/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 23/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 23/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 23/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 23/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 23/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [04:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [04:15:00 23/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 14.2857 u1: ml/cmH st: NotStopd t0: [04:15:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:15:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:15:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:15:00 23/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2.3 st: NotStopd t0: [04:15:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:15:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [04:15:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:15:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [04:15:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:15:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [04:15:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [04:15:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:15:00 23/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 35.5 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 29.4 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:15:00 23/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:15:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:15:00 23/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:15:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:15:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:15:00 23/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [04:15:00 23/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:15:00 23/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:15:00 23/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:15:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [04:15:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:15:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [04:15:00 23/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [05:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [05:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [06:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [06:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [06:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [06:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml
t0: [07:50:00 23/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.2414 u1: ml/cmH st: NotStopd t0: [07:50:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [07:50:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:50:00 23/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [07:50:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:50:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [07:50:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [07:50:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [07:50:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [07:50:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [07:50:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [07:50:00 23/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30.7 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24.3 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [07:50:00 23/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:50:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:50:00 23/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:50:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:50:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:50:00 23/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [07:50:00 23/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [07:50:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [07:50:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [07:50:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [07:50:00 23/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [08:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:20:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:20:00 23/05/2010] id: ETT Position Change el: 0 cu: MICU cg: RRT v1: Done st: NotStopd t0: [08:20:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:20:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd
t0: [08:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [08:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 23/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [08:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 23/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 23/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 23/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml
t0: [09:11:00 23/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: CaO2 el: 0 cu: MICU cg: 1663 v1: 13.3417 u1: ml/dl st: NotStopd t0: [09:11:00 23/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31 u1: % rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [09:11:00 23/05/2010] id: SaO2 ABG's el: 0 cu: MICU cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [09:00:00 23/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 102.2 rs: Final st: NotStopd
t0: [09:48:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:48:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [09:48:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:48:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:48:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:48:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [09:48:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [09:48:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:48:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [09:48:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [10:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [10:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 98 u1: BPM st: NotStopd t0: [10:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [10:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 18 vu: ml t0: [10:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 18 vu: ml t0: [10:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [18:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:48:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 24/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: BID:PRN m1: Senna f1: TAB v1: 1 u1: TAB
t0: [11:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [11:00:00 23/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [11:00:00 23/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 23/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [11:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 23/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [11:00:00 23/05/2010] tf: [12:00:00 23/05/2010] dt: 60 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml t0: [11:00:00 23/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [11:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 23/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [09:00:00 23/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 23/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 23/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 23/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [11:00:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [11:00:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:00:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [11:00:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [11:00:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 5 st: NotStopd t0: [11:00:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [11:00:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [11:00:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [11:00:00 23/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [11:00:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [11:00:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [11:00:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 23/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:00:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [11:00:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [12:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 23/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 23/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [12:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 96 rs: Manual st: NotStopd
t0: [12:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd
t0: [12:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [12:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml st: Stopped
t0: [13:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [13:00:00 23/05/2010] id: ETT Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:00:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RN v1: 7.5 mm st: NotStopd t0: [13:00:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RN v1: Endotracheal st: NotStopd t0: [13:00:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RN v1: 3 v2: 8 st: NotStopd t0: [13:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [13:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 23/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 23/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RN v1: 15 u1: # st: NotStopd t0: [13:00:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RN v1: 7200A st: NotStopd t0: [13:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [13:00:00 23/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: RN vu: ml es: Medium
t0: [13:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:40:00 23/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [13:40:00 23/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [13:40:00 23/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [13:40:00 23/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [13:40:00 23/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [13:40:00 23/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.45 rs: Final st: NotStopd
t0: [23:00:00 23/05/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: 1663 cv: 0 ap: carryForward
t0: [13:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [14:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [14:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [15:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 113 u1: BPM st: NotStopd t0: [15:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [15:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 23/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 23/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 23/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [15:00:00 23/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.5 u1: Deg. F st: NotStopd
t0: [15:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [11:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [11:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [11:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [11:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [13:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [13:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [13:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [13:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [15:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Family at Bedsid st: NotStopd t0: [15:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 23/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 23/05/2010] id: Family Communication el: 0 cu: MICU cg: RN v1: Family Visited st: NotStopd t0: [15:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [15:00:00 23/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [15:00:00 23/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [15:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [15:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [15:00:00 23/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [15:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 23/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [15:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [15:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 23/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [15:00:00 23/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: RN v1: Brown v2: Soft st: NotStopd t0: [15:00:00 23/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: RN v1: Negative st: NotStopd t0: [15:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [15:00:00 23/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 23/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [15:00:00 23/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [14:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd
tf: [10:00:00 25/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 75 u1: mg
t0: [16:00:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [16:00:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [16:00:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:00:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 23/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [16:00:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [16:00:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 23/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 23/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [16:00:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [16:00:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [16:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [16:00:00 23/05/2010] tf: [09:00:00 24/05/2010] dt: 1020 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml
t0: [15:25:00 23/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 84 rs: Final st: NotStopd
t0: [16:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 114 u1: BPM st: NotStopd t0: [16:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 128 u1: BPM st: NotStopd t0: [17:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [17:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [17:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [17:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 20 vu: ml
t0: [16:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 325 ap: none
t0: [17:30:00 23/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 140 rs: Manual st: NotStopd
t0: [18:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [18:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 23/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [18:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 40 vu: ml
t0: [18:00:00 23/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 23/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [16:00:00 23/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd
t0: [18:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [18:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [18:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [18:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [18:00:00 23/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 23/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [18:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 23/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 23/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [18:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [18:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 23/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [18:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [18:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 23/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Agitated st: NotStopd t0: [18:15:00 23/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [18:15:00 23/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [18:15:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [18:15:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:15:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:15:00 23/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [20:50:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:50:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:50:00 23/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:50:00 23/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:50:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 23/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [20:50:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:50:00 23/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [20:50:00 23/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:50:00 23/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:50:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.2 u1: cmH2O st: NotStopd t0: [20:50:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [20:50:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:50:00 23/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [20:50:00 23/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [20:50:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:50:00 23/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:50:00 23/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:50:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:50:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:50:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [19:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [19:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [19:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 23/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 23/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 23/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 23/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 23/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 23/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 23/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 23/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [20:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 23/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 23/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 23/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 23/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 23/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 23/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 23/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 23/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 23/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 23/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [20:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 23/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 23/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 23/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 23/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 23/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 23/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 23/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 23/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 23/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 23/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 23/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 23/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [20:00:00 23/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [21:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [21:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [21:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [20:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [21:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [19:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:10:00 23/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.2648 u1: ml/cmH st: NotStopd t0: [21:10:00 23/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [21:10:00 23/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:10:00 23/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [21:10:00 23/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:10:00 23/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:10:00 23/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [21:10:00 23/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [21:10:00 23/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [21:10:00 23/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [21:10:00 23/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:10:00 23/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 29.4 u1: cmH2O st: NotStopd t0: [21:10:00 23/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25.9 u1: cmH2O st: NotStopd t0: [21:10:00 23/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:10:00 23/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:10:00 23/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:10:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:10:00 23/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [21:10:00 23/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [21:10:00 23/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [21:10:00 23/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [21:10:00 23/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [21:10:00 23/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 23/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 23/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [22:00:00 23/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 23/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 23/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 23/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [22:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 23/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 23/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 23/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 23/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 23/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 23/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 23/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 23/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 23/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 23/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 23/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 23/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 23/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 23/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 23/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 23/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 23/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [23:00:00 23/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 23/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 23/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 23/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 23/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 23/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 23/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 24/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 24/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 24/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 24/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 24/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [00:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 24/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 24/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 24/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 24/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 24/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 24/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 24/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 24/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 24/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 24/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 24/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 24/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 24/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 24/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 24/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 120 rs: Manual st: NotStopd t0: [00:00:00 24/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [22:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [22:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [23:00:00 23/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 23/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 23/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [00:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [22:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 80 cv: 80 ap: none t0: [23:00:00 23/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -22 cv: -22 ap: none t0: [23:00:00 23/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 593 ap: none t0: [23:00:00 23/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 58 cv: 1238 ap: none t0: [23:00:00 23/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 40 cv: 320 ap: none t0: [23:00:00 23/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 80 cv: 2530 ap: none t0: [23:00:00 23/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -22 cv: -1292 ap: carryForward t0: [23:00:00 23/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 80 cv: 2530 ap: carryForward t0: [23:00:00 23/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -22 cv: 16332 ap: carryForward t0: [23:00:00 24/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 100 cv: 3340 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 100 cv: 3340 ap: none
t0: [01:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [01:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [01:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [01:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [01:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -32 cv: -32 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 732 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 68 cv: 1832 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 50 cv: 780 ap: none t0: [23:00:00 24/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -32 cv: -1508 ap: none t0: [23:00:00 24/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -32 cv: 14824 ap: carryForward
t0: [01:15:00 24/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 20.6186 u1: ml/cmH st: NotStopd t0: [01:15:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [01:15:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:15:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:15:00 24/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:2 st: NotStopd t0: [01:15:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:15:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [01:15:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [01:15:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [01:15:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [01:15:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:15:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [01:15:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [01:15:00 24/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 26.9 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [01:15:00 24/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:15:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:15:00 24/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [01:15:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:15:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [01:15:00 24/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [01:15:00 24/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [01:15:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [01:15:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [01:15:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [01:15:00 24/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [02:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [02:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [03:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [03:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [02:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [03:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [03:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [02:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 24/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [04:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 24/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 24/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 24/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 24/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [04:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 24/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 24/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 24/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 24/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 24/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 24/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 24/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [04:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 24/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 24/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [04:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 24/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 24/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 24/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 24/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 24/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 24/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [04:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [04:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:20:00 24/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 30.2 u1: % rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 390 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.34 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 17 rs: Final st: NotStopd
t0: [03:20:00 24/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 10 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 185 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.9 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 83.5 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:20:00 24/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [03:20:00 24/05/2010] id: Vancomycin/Random Drug Level el: 0 cu: MICU cg: 1663 v1: 6.6 rs: Final st: NotStopd
t0: [05:30:00 24/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 18.9573 u1: ml/cmH st: NotStopd t0: [05:30:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [05:30:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:30:00 24/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [05:30:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:30:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [05:30:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:30:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [05:30:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:30:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: Micro-Neb Treatment el: 0 cu: MICU cg: RRT v1: muco st: NotStopd t0: [05:30:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [05:30:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:30:00 24/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 28.6 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 25.5 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:30:00 24/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:30:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:30:00 24/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:30:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [05:30:00 24/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [05:30:00 24/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [05:30:00 24/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [05:30:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [05:30:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:30:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [05:30:00 24/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [05:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [05:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [05:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [06:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [06:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [05:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [06:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [06:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [05:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [05:00:00 25/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml tf: [05:00:00 25/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm
t0: [07:15:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:15:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [07:15:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:15:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:15:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:15:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [07:15:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:15:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:15:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [07:15:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:15:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:15:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:15:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:15:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [07:15:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:15:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [07:15:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 24/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 24/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 24/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 24/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 24/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 24/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 24/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 24/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 24/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 24/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 146 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [08:00:00 24/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [08:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 24/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 24/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 24/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 24/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 24/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 24/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: None st: NotStopd t0: [08:00:00 24/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 24/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 24/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 24/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 7.5 vu: ml t0: [08:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [08:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [08:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:11:00 24/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.53 rs: Final st: NotStopd t0: [08:11:00 24/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [08:11:00 24/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 28 rs: Final st: NotStopd t0: [08:11:00 24/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 24/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [08:11:00 24/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.53 rs: Final st: NotStopd
t0: [09:00:00 24/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 17.5439 u1: ml/cmH st: NotStopd t0: [09:00:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [09:00:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [09:00:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [09:00:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:00:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.9 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [09:00:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 24/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [09:00:00 24/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 30.3 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24.9 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 24/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 24/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [09:00:00 24/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [09:00:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [09:00:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [09:00:00 24/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [09:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:15:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:15:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:15:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [09:15:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [09:15:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:15:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [09:15:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [09:15:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [09:15:00 24/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [09:15:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [09:15:00 24/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:15:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [09:15:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:15:00 24/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 190 u1: ml/B st: NotStopd t0: [09:15:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:15:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [09:15:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [09:30:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [09:30:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:30:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:30:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:30:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [09:30:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:30:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:30:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:30:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [09:30:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [09:30:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [09:30:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:30:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [09:30:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [09:30:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [09:30:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:30:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [09:30:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:30:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [09:30:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [09:30:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd
t0: [09:30:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Other st: NotStopd
tf: [09:00:00 25/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [10:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [10:30:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:30:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:30:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:30:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [10:30:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [10:30:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [10:30:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:30:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:30:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [10:30:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:30:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:30:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:30:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml st: Stopped t0: [10:30:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 15 vu: ml t0: [10:30:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 12 vu: ml
t0: [10:30:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:33:00 24/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [10:33:00 24/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [10:33:00 24/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [10:33:00 24/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [10:33:00 24/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [10:33:00 24/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [11:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [11:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [11:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [11:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 4 vu: ml
t0: [11:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd
t0: [12:00:00 24/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 152 rs: Manual st: NotStopd
tf: [16:00:00 24/05/2010] pt: Unit Dose rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [09:15:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:00:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [12:00:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [12:00:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.9 u1: cmH2O st: NotStopd t0: [12:00:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [12:00:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 24/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 24/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [12:00:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:00:00 24/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [12:00:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:00:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [12:15:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [12:30:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd
t0: [12:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 112 u1: BPM st: NotStopd t0: [12:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 132 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [12:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [12:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [12:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [13:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [13:30:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:30:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [13:30:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 91 u1: BPM st: NotStopd t0: [13:30:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [13:30:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:30:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:30:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [13:30:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:30:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [13:30:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 5 vu: ml t0: [13:30:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 4 vu: ml
t0: [13:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [12:00:00 24/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 24/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [12:00:00 24/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/05/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 24/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 24/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [13:30:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:30:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [13:30:00 24/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [13:30:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Gluteal, Left st: NotStopd t0: [13:30:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [13:30:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:30:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:30:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [13:30:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [13:30:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [13:30:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [13:30:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [13:30:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [13:30:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd
t0: [13:30:00 24/05/2010] id: Procedures el: 0 cu: MICU cg: RN st: NotStopd
t0: [13:43:00 24/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [13:43:00 24/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [14:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 118 u1: BPM st: NotStopd t0: [14:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 140 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [14:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 37 u1: BPM st: NotStopd t0: [14:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [14:30:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:30:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [14:30:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 126 u1: BPM st: NotStopd t0: [14:30:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 144 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:30:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [14:30:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [14:30:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 39 u1: BPM st: NotStopd t0: [14:30:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [14:30:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 15 vu: ml t0: [15:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12 vu: ml
t0: [14:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:30:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 24/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd
t0: [15:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [15:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [15:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 117 u1: BPM st: NotStopd t0: [15:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 146 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [15:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [15:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [15:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 38 u1: BPM st: NotStopd t0: [15:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [15:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [15:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.4 u1: Deg. F st: NotStopd
t0: [12:00:00 24/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 24/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 24/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: White v2: Tenacious st: NotStopd t0: [15:00:00 24/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 111 u1: BPM st: NotStopd t0: [16:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 24/05/2010] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 133 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [16:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [16:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [16:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [16:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [15:00:00 31/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT
t0: [16:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 0 vu: ml nb: 1
t0: [16:13:00 24/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [16:13:00 24/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [16:13:00 24/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [16:13:00 24/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 24/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [16:13:00 24/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [16:20:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:20:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:20:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:20:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:20:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:20:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:20:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [16:20:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [16:20:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [16:20:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:20:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:20:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [16:20:00 24/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [16:20:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:20:00 24/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:20:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:20:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:20:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:20:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [16:20:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [16:20:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [16:20:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [16:20:00 24/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 310 u1: ml/B st: NotStopd
t0: [23:00:00 24/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RRT cv: 320 ap: none
t0: [17:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 118 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml t0: [17:00:00 24/05/2010] tf: [01:00:00 25/05/2010] dt: 480 id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 50 vu: ml
t0: [17:00:00 24/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 24/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 182 rs: Manual st: NotStopd
t0: [18:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [18:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [18:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [18:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [18:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [18:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [19:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [19:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [19:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [19:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [19:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [20:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 24/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [20:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [20:00:00 24/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [20:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 24/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 24/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 24/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [20:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [20:00:00 24/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 24/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 24/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 24/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 24/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [20:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [19:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 24/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 24/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 24/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 24/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 24/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 24/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 24/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 24/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 24/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 24/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [20:00:00 24/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 24/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [20:00:00 24/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 24/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 24/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 24/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 24/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 24/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 24/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 24/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 24/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [20:00:00 24/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 24/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 24/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
tf: [21:00:00 25/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [19:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [20:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 24/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 24/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 24/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [20:00:00 24/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 24/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 24/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 24/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 24/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [20:00:00 24/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 24/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 24/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 24/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 24/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 24/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 24/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 24/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 24/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 24/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 24/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 24/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 24/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 24/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 24/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 24/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 24/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 24/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 24/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 24/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 24/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 24/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 24/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [21:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [21:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [21:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [21:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 24/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 24/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 24/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [22:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 24/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 24/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 24/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [22:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [22:00:00 24/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 24/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 24/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 24/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [22:00:00 24/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 24/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 24/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 24/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 24/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 24/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [23:00:00 24/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 24/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [23:00:00 24/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [23:00:00 24/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [23:00:00 24/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [23:00:00 24/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 24/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 24/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [23:00:00 24/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 24/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [22:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [22:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [23:00:00 24/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 24/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 24/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [21:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 25/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [00:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [00:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [00:00:00 25/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 25/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [00:00:00 25/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [00:00:00 25/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 25/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 25/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [00:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 25/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 25/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 25/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 25/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [00:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [00:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 25/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 130 rs: Manual st: NotStopd t0: [00:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 25/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [00:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:00:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 25/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [00:00:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [00:00:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [00:00:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 25/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 25/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [00:00:00 25/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [00:00:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:00:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [23:00:00 24/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [01:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [01:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [01:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [01:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [01:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [01:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 25/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vu: ml st: Stopped
t0: [01:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 50 ap: none
tf: [00:00:00 26/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [02:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [02:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [02:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [02:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [02:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [02:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [02:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [03:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [03:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [03:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [03:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [03:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 32.1 u1: % rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 465 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd
t0: [03:00:00 25/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 108.2 rs: Final st: NotStopd
t0: [04:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 25/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [04:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 25/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [04:00:00 25/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [04:00:00 25/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 25/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [04:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [04:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 25/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 25/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [04:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 25/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 25/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [04:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 11 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 99 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:00:00 25/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [04:00:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:00:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 25/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [04:00:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [04:00:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [04:00:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 25/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 25/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 25/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [04:00:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:00:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [05:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [05:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [05:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [05:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [05:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [05:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [05:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [06:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [06:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [06:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [07:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 152 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [07:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [07:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:30:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [07:30:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:30:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:30:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [07:30:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [07:30:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [07:30:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [07:30:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [07:30:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:30:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 6.4 u1: cmH2O st: NotStopd t0: [07:30:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.7 u1: L/min st: NotStopd t0: [07:30:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [07:30:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:30:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [07:30:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [07:30:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 190 u1: ml/B st: NotStopd t0: [07:30:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:30:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [07:30:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [08:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 25/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 25/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 25/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [08:00:00 25/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 25/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 25/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 25/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 157 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [08:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [08:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 25/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 25/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 25/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 96.4 u1: Deg. F st: NotStopd t0: [08:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [08:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 25/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 25/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [08:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [08:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 25/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:46:00 25/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [08:46:00 25/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [08:46:00 25/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 38 rs: Final st: NotStopd t0: [08:46:00 25/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [08:46:00 25/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [08:46:00 25/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [09:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [09:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [09:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [09:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [09:00:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 220 u1: ml/B st: NotStopd
t0: [10:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [10:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [10:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [10:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:49:00 25/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [09:49:00 25/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [09:49:00 25/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [09:49:00 25/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [09:49:00 25/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [09:49:00 25/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.35 rs: Final st: NotStopd
t0: [10:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml
t0: [10:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [11:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [11:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [11:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [11:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [11:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 26/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [11:00:00 27/05/2010] pt: Unit Dose rt: NEB fr: Q4-6H dn: 2 m1: Acetylcysteine 20% f1: SOLN v1: 6-10 u1: ml tf: [11:00:00 03/06/2010] pt: Unit Dose rt: NEB fr: Q4-6H m1: Acetylcysteine 20% f1: INJ v1: 6-10 u1: ml
t0: [12:00:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:00:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [12:00:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [12:00:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [12:00:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [12:00:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [12:00:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [12:00:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:00:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 25/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [12:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 25/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 25/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 25/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 25/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 25/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 25/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 25/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 25/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 25/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [12:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 106 rs: Manual st: NotStopd
t0: [12:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 25/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 25/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd
t0: [13:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [13:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [13:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [13:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 25/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v2: Other st: NotStopd
t0: [13:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [13:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [14:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [14:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [14:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [14:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [14:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml
t0: [14:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [15:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [15:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [15:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [15:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 26/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 100 u1: mg
t0: [16:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 25/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [16:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 25/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [16:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [16:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 25/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 25/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 25/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 25/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [16:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 25/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [16:00:00 25/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [16:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:00:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [17:00:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [17:00:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 25/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10.4 u1: cmH2O st: NotStopd t0: [17:00:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [17:00:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:00:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [17:00:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [17:00:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:00:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [17:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [17:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [17:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [17:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [18:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [18:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [18:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [18:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [18:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [18:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [18:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 25/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 102 rs: Manual st: NotStopd
t0: [19:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [19:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [19:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [19:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [19:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [19:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:50:00 25/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:50:00 25/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:50:00 25/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:50:00 25/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:50:00 25/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:50:00 25/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:50:00 25/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:50:00 25/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:50:00 25/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [20:50:00 25/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:50:00 25/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:50:00 25/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:50:00 25/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [20:50:00 25/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:50:00 25/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:50:00 25/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:50:00 25/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [20:50:00 25/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:50:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:50:00 25/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [20:50:00 25/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:50:00 25/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:50:00 25/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:50:00 25/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 25/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 25/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [20:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [20:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 25/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 25/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 25/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 25/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 25/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:00:00 25/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [20:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [20:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 25/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 25/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 25/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 25/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 25/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [21:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [21:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [21:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [21:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [21:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [20:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [22:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [22:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [22:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [22:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [22:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 25/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 25/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 25/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 25/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 25/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 25/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 25/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 25/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 25/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 25/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 25/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 25/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 25/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 25/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 25/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 25/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 25/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 25/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 25/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 25/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 25/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 25/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 25/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [22:00:00 25/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 25/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 25/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [22:00:00 25/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 25/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 25/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 25/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 25/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 25/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 25/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 25/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 25/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 25/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 25/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 25/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [23:00:00 25/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 25/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 100 cv: 4065 ap: none t0: [23:00:00 25/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 100 cv: 4065 ap: none
t0: [20:00:00 25/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 25/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [23:00:00 25/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 25/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 25/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 25/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 25/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [23:00:00 25/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 25/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [23:00:00 25/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [23:00:00 25/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 25/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 25/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 25/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 26/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [00:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 26/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 26/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 26/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [00:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg st: NotStopd t0: [00:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [00:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 26/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 26/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 26/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 26/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 26/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 120 rs: Manual st: NotStopd t0: [00:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [23:00:00 25/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 25/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [00:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [23:00:00 25/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -83 cv: -83 ap: none t0: [23:00:00 25/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 17 cv: 513 ap: none t0: [23:00:00 25/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 17 cv: 563 ap: none t0: [23:00:00 25/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -83 cv: -3502 ap: none t0: [23:00:00 25/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -83 cv: 11322 ap: carryForward t0: [23:00:00 26/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -83 cv: -83 ap: none t0: [23:00:00 26/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 17 cv: 998 ap: none t0: [23:00:00 26/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 17 cv: 998 ap: none t0: [23:00:00 26/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -83 cv: -702 ap: carryForward t0: [23:00:00 26/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -83 cv: 10620 ap: carryForward
t0: [00:55:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:55:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:55:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:55:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:55:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:55:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:55:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [00:55:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:55:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:55:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:55:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [00:55:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [00:55:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [00:55:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:55:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:55:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:55:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:55:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:55:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:55:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [00:55:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:55:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:55:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:55:00 26/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [01:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 162 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [01:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg st: NotStopd t0: [01:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [01:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [02:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [02:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [02:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [02:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [02:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [02:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [02:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [01:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [03:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 155 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg st: NotStopd t0: [03:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [03:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [03:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [03:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 26/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [04:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 26/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 26/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [04:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg st: NotStopd t0: [04:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [04:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 26/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 26/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 26/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [04:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 26/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [04:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [05:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [05:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [05:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [05:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:20:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [05:20:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:20:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:20:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:20:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:20:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:20:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [05:20:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:20:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [05:20:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:20:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [05:20:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [05:20:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.4 u1: L/min st: NotStopd t0: [05:20:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:20:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:20:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [05:20:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [05:20:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:20:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 93 u1: % st: NotStopd t0: [05:20:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [05:20:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:20:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:20:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [05:20:00 26/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [06:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [06:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [06:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [06:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:15:00 26/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 33.3 u1: % rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 474 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 15.9 rs: Final st: NotStopd
t0: [04:15:00 26/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 74 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [04:15:00 26/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [04:15:00 26/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 97.8 rs: Final st: NotStopd
t0: [07:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [07:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [07:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [07:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [07:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [08:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 26/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 26/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [08:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 26/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [08:00:00 26/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [07:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [08:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [07:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 26/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [08:00:00 26/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 26/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 26/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 26/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 26/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd
t0: [07:49:00 26/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [07:49:00 26/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [07:49:00 26/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 36 rs: Final st: NotStopd t0: [07:49:00 26/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [07:49:00 26/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [07:49:00 26/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [08:00:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [08:00:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [08:00:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [08:00:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [08:00:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [08:00:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.4 u1: L/min st: NotStopd t0: [08:00:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [08:00:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:00:00 26/05/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 26/05/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.12 u1: L st: NotStopd t0: [08:00:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [08:00:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [08:00:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 26/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 26/05/2010] id: RSBI (<100) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [08:00:00 26/05/2010] id: RSBI (<200) el: 0 cu: MICU cg: RRT u1: units st: NotStopd
t0: [08:05:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:05:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:05:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:05:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 150 u1: ml/B st: NotStopd
t0: [08:50:00 26/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 35 rs: Final st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.32 rs: Final st: NotStopd
tf: [08:00:00 27/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 9 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [08:15:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:15:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:15:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:15:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [08:15:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [08:15:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [08:15:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:15:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [08:15:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [08:15:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:30:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:30:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:30:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 123 u1: BPM st: NotStopd t0: [08:30:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [08:30:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [08:30:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:30:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [08:30:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [08:30:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:40:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:40:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [08:40:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:40:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 138 u1: BPM st: NotStopd t0: [08:40:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 150 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [08:40:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg st: NotStopd t0: [08:40:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:40:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:40:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [08:40:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:45:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:45:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [08:45:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:45:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 138 u1: BPM st: NotStopd t0: [08:45:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 150 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [08:45:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [08:45:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:45:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [08:45:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [08:45:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:50:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:50:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:50:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:50:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [08:50:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [08:50:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:50:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [08:50:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [08:50:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [09:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [09:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 143 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [09:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [09:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [09:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:15:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:40:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:45:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:50:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 26/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 26/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 26/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 26/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [09:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [09:00:00 26/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Large
t0: [23:00:00 26/05/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [10:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 128 u1: BPM st: NotStopd t0: [10:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 151 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [10:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [10:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [10:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [10:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [10:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:15:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:15:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd
t0: [10:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [10:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [11:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [11:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [11:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [11:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [11:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 26/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 26/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Danger Agitation st: NotStopd t0: [12:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 147 u1: BPM st: NotStopd t0: [12:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 165 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [12:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg st: NotStopd t0: [12:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 26/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [12:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [12:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [12:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 26/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Fluid Bolus st: NotStopd t0: [12:00:00 26/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [13:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 119 u1: BPM st: NotStopd t0: [13:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [13:00:00 26/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Fluid Bolus st: NotStopd t0: [13:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [13:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:56:00 26/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [12:56:00 26/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [12:56:00 26/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [12:56:00 26/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [12:56:00 26/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [12:56:00 26/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [08:00:00 26/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: NotStopd t0: [11:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 26/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [12:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 26/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 26/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 26/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 138 rs: Manual st: NotStopd t0: [12:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [13:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 26/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [13:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 26/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd
t0: [12:00:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:00:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [12:30:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:30:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 18 u1: . st: NotStopd t0: [12:30:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [12:30:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [12:30:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [13:30:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [13:30:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:30:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:30:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:30:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:30:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:30:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [13:30:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [13:30:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [13:30:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [13:30:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:30:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.5 u1: L/min st: NotStopd t0: [13:30:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:30:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [13:30:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 18 u1: . st: NotStopd t0: [13:30:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:30:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [13:30:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [13:30:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [13:30:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:30:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [13:30:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [13:30:00 26/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [14:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 117 u1: BPM st: NotStopd t0: [14:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [14:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [14:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [13:00:00 27/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 14 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [14:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [14:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 5 u1: mmHg st: NotStopd t0: [15:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [15:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [15:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:20:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd
tf: [13:00:00 27/05/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 125 u1: mg
t0: [16:30:00 26/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd t0: [16:30:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:30:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:30:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [16:30:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:30:00 26/05/2010] id: AaDO2 el: 0 cu: MICU cg: 1663 v1: 138.2 u1: mmHg st: NotStopd t0: [16:30:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:30:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [16:30:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:30:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [16:30:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [16:30:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:30:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [16:30:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 7.6 u1: cmH2O st: NotStopd t0: [16:30:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4 u1: L/min st: NotStopd t0: [16:30:00 26/05/2010] id: PAO2 el: 0 cu: MICU cg: 1663 v1: 240.2 u1: mmHg st: NotStopd t0: [16:30:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:30:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:30:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:30:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:30:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:30:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [16:30:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:30:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [16:30:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [16:30:00 26/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd t0: [16:30:00 26/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [16:30:00 26/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [16:30:00 26/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [16:30:00 26/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [16:30:00 26/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.47 rs: Final st: NotStopd
t0: [15:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [15:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 26/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 26/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [16:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 26/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 26/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 26/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [16:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 26/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [17:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 26/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 26/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd
t0: [16:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [17:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [16:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 26/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [16:00:00 26/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 26/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [17:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [17:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [17:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 26/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 108 rs: Manual st: NotStopd
t0: [18:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [18:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [18:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [18:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [18:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:15:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 4 v2: Combivent st: NotStopd
t0: [16:30:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd
t0: [20:45:00 26/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:45:00 26/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:45:00 26/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:45:00 26/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:45:00 26/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:45:00 26/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [20:45:00 26/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [20:45:00 26/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:45:00 26/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [20:45:00 26/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:45:00 26/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:45:00 26/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10.4 u1: cmH2O st: NotStopd t0: [20:45:00 26/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.1 u1: L/min st: NotStopd t0: [20:45:00 26/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:45:00 26/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:45:00 26/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:45:00 26/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:45:00 26/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:45:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:45:00 26/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [20:45:00 26/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:45:00 26/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:45:00 26/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [19:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [19:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [19:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [19:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 26/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 26/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [20:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 26/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 26/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 26/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 26/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 26/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 26/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 26/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [20:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 26/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 26/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 26/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 26/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 26/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 26/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 26/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 26/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [20:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 26/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 26/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 26/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 26/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 26/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 26/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 26/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 26/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 26/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 26/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 26/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 26/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 26/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 26/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [21:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [21:00:00 26/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [21:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [21:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [21:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [21:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [20:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [21:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [19:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [22:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [22:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [22:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [22:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [21:00:00 27/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 22 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [00:30:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:30:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:30:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:30:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [00:30:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:30:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:30:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:30:00 27/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:30:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [00:30:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [00:30:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [00:30:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:30:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [00:30:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:30:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:30:00 27/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [00:30:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:30:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:30:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [22:00:00 26/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 26/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 26/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 26/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 26/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 26/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [22:00:00 26/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [22:00:00 26/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 26/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 26/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 26/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 26/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 26/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 26/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 26/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 26/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 26/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 26/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 26/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 26/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 26/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 26/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 26/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 26/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [23:00:00 26/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 26/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 26/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 26/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 26/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [23:00:00 26/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 26/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [00:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 27/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 27/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 27/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [00:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [00:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [00:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 27/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 27/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [00:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 100 rs: Manual st: NotStopd t0: [00:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [01:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [01:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [01:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [01:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [01:00:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 26/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [00:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [01:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [23:00:00 26/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 100 cv: 100 ap: none t0: [23:00:00 26/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 100 cv: 1700 ap: none t0: [23:00:00 26/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 100 cv: 1700 ap: carryForward t0: [23:00:00 27/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 27/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 27/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 cv: 1107.65 ap: none t0: [23:00:00 27/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 cv: 1227.65 ap: none t0: [23:00:00 27/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 100 ap: none t0: [23:00:00 27/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 1415 ap: none t0: [23:00:00 27/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 cv: -187.35 ap: carryForward t0: [23:00:00 27/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 1415 ap: carryForward t0: [23:00:00 27/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 cv: 10432.6 ap: carryForward
t0: [00:00:00 27/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [01:00:00 27/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 27/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 27/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [01:00:00 27/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [02:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [02:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [02:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [02:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [02:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:25:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:25:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:25:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:25:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:25:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:25:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [04:25:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.3 u1: Deg. C st: NotStopd t0: [04:25:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:25:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [04:25:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:25:00 27/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:25:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.9 u1: cmH2O st: NotStopd t0: [04:25:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [04:25:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:25:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [04:25:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:25:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:25:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:25:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:25:00 27/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [04:25:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:25:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:25:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 27/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 27/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd
t0: [04:08:00 27/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 22.6 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.9 u1: % rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 432 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 22.6 rs: Final st: NotStopd
t0: [04:08:00 27/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 87 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [04:08:00 27/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [04:08:00 27/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 79.9 rs: Final st: NotStopd
t0: [00:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [02:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [02:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [03:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 27/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [04:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [04:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 27/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [04:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [04:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [04:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 27/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 27/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [04:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [04:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [05:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [05:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 80.3333 u1: mmHg st: NotStopd t0: [05:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 142 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [05:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [05:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [04:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [05:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [03:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 27/05/2010] id: RSBI (<100) el: 0 cu: MICU cg: RRT v1: 156.25 u1: units st: NotStopd t0: [06:00:00 27/05/2010] id: RSBI (<200) el: 0 cu: MICU cg: RRT v1: 156.25 u1: units st: NotStopd t0: [06:00:00 27/05/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [06:00:00 27/05/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.16 u1: L st: NotStopd
t0: [06:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [06:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [06:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [06:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [06:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 27/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 94 rs: Manual st: NotStopd
t0: [06:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [06:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:28:00 27/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [06:28:00 27/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [06:28:00 27/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [06:28:00 27/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 27/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 27/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [07:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [07:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [07:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [07:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg st: NotStopd t0: [07:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [07:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [09:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 27/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [09:00:00 27/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [09:00:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [09:00:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [09:00:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [09:00:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [09:00:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [09:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [09:00:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [09:00:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [09:00:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [09:00:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [09:00:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [09:00:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 27/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [09:00:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [09:00:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [08:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 27/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 27/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 27/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 27/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 27/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [08:00:00 27/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [09:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [09:00:00 27/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [09:00:00 27/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 27/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [09:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [09:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 118 u1: BPM st: NotStopd t0: [09:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 27/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 165 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [09:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [09:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg st: NotStopd t0: [09:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 27/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 27/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [10:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [10:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [10:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [09:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [09:00:00 27/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Medium t0: [10:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [08:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd
t0: [10:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT u1: cmH2O st: NotStopd
t0: [11:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [11:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [11:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 97.3333 u1: mmHg st: NotStopd t0: [11:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [11:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [11:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [12:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [12:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.3333 u1: mmHg st: NotStopd t0: [12:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 27/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [12:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [12:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 232 rs: Manual st: NotStopd
t0: [11:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 27/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [11:20:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:20:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:20:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:20:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [11:20:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 158 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [11:20:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [11:20:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:20:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [11:20:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:20:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:25:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:25:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:25:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:25:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [11:25:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 175 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [11:25:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg st: NotStopd t0: [11:25:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:25:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [11:25:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [11:25:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:30:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [11:30:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 121 u1: BPM st: NotStopd t0: [11:30:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 188 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [11:30:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg st: NotStopd t0: [11:30:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [11:30:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [11:30:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [11:30:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [11:30:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:35:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:35:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [11:35:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:35:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [11:35:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 194 u1: mmHg v2: 98 u2: mmHg st: NotStopd t0: [11:35:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg st: NotStopd t0: [11:35:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:35:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:35:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 52 u1: % st: NotStopd t0: [11:35:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:40:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:40:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [11:40:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:40:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [11:40:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [11:40:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [11:40:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [11:40:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [11:40:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:40:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:40:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 47 u1: % st: NotStopd t0: [11:40:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:45:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:45:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [11:45:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:45:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [11:45:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [11:45:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [11:45:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:45:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [11:45:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:45:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [11:45:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:45:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:50:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:50:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [11:50:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:50:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [11:50:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [11:50:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [11:50:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:50:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [11:50:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:50:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [11:50:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:50:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:55:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:55:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [11:55:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:55:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 124 u1: BPM st: NotStopd t0: [11:55:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [11:55:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 103.667 u1: mmHg st: NotStopd t0: [11:55:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 181 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [11:55:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg st: NotStopd t0: [11:55:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:55:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [11:55:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [11:00:00 27/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Large t0: [12:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [11:20:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:25:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:35:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:40:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:50:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:55:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:42:00 27/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [12:42:00 27/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [12:42:00 27/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [12:42:00 27/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 27/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 27/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [13:00:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [13:00:00 27/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 50 st: NotStopd t0: [13:00:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:00:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [13:00:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [13:00:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16.3 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [13:00:00 27/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [13:00:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 27/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 27/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [13:00:00 27/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [13:00:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [13:00:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [13:00:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 27/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
id: Neosynephrine-k el: 100 cu: MICU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: MICU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [10:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [10:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [10:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 27/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [11:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [11:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 27/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 27/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [12:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 27/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Tenacious st: NotStopd t0: [12:00:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [12:00:00 27/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 27/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 27/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:30:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:30:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [12:30:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:30:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:30:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:30:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 50 u1: mmHg st: NotStopd t0: [12:30:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:30:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [12:30:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:30:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:30:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [12:30:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:45:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:45:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:45:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [12:45:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:45:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 48.6667 u1: mmHg st: NotStopd t0: [12:45:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:45:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [12:45:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:45:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:45:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [12:45:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [13:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [13:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 48.6667 u1: mmHg st: NotStopd t0: [13:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [13:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [13:00:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:15:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:15:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:15:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [13:15:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:15:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [13:15:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:15:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:15:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 87 u1: % st: NotStopd t0: [13:15:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:30:00 27/05/2010] tf: [17:00:00 27/05/2010] dt: 270 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 46.5 vu: ml t0: [13:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [13:00:00 27/05/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 23.3 vu: ml
t0: [12:30:00 27/05/2010] tf: [15:00:00 27/05/2010] dt: 150 id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:45:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:15:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 27/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Pan Cultured st: NotStopd t0: [13:00:00 27/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [13:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [13:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd
t0: [13:00:00 27/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 13.7931 u1: ml/cmH st: NotStopd t0: [13:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 1 u1: torr st: NotStopd t0: [13:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [14:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [13:30:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:30:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [13:30:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [13:30:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:30:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 77.6667 u1: mmHg st: NotStopd t0: [13:30:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:30:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [13:30:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:30:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 87 u1: % st: NotStopd t0: [13:30:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:45:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:45:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:45:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [13:45:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 162 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:45:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [13:45:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:45:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:45:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:45:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:45:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [13:00:00 28/05/2010] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: INJ v1: 60 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [13:00:00 28/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 14 dn: 1 m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [13:00:00 28/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 50 u1: mcg tf: [13:00:00 28/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm tf: [13:00:00 28/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Midazolam HCl f1: INJ v1: 1 u1: mg tf: [11:00:00 29/05/2010] pt: IV Piggyback rt: IV fr: Q12H fs: 14, 2 dn: 2 m1: Vancomycin HCl f1: INJ v1: 1000 u1: mg m2: Iso-Osmotic Dextrose f2: INJ v2: 200 u2: ml
t0: [14:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.8 u1: torr st: NotStopd
t0: [14:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 27/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [14:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [14:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [14:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [14:00:00 27/05/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [14:00:00 27/05/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 0 u1: mmHg st: NotStopd t0: [14:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [14:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [15:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [14:00:00 27/05/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 15.425 vu: ml t0: [15:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [15:00:00 27/05/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 15.425 vu: ml t0: [15:00:00 27/05/2010] tf: [17:00:00 27/05/2010] dt: 120 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml nb: 1
t0: [14:00:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 27/05/2010] id: Neosynephrine-k el: 1 cu: MICU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [15:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:05:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:05:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:05:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:05:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [15:05:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:05:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [15:05:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:05:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:05:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:05:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:10:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:10:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:10:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:10:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [15:10:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:10:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [15:10:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:10:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:10:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:10:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:15:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:15:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:15:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [15:15:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:15:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [15:15:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:15:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:15:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:15:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:05:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:10:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:15:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 150 u1: mg
t0: [17:00:00 27/05/2010] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [15:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [15:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [15:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 27/05/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [16:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 27/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 27/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [16:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 27/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 27/05/2010] id: Significant Events el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [16:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 27/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 27/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [17:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 27/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [17:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 27/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 27/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [16:00:00 27/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [17:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [17:00:00 27/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vu: ml st: Stopped
t0: [16:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 20 ap: none
t0: [17:00:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 27/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [17:00:00 27/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:00:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [17:00:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.8 u1: L/min st: NotStopd t0: [17:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 25 st: NotStopd t0: [17:00:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [17:00:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [17:00:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [17:00:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 27/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [17:00:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:00:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 27/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [18:00:00 27/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 98 rs: Manual st: NotStopd
t0: [18:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 21 u1: mmHg st: NotStopd t0: [18:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [18:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 27/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [18:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 27/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 27/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [18:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [18:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [18:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 27/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 27/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 27/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 27/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 27/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd
t0: [18:00:00 27/05/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Small
t0: [23:00:00 27/05/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [19:15:00 27/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [19:15:00 27/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [19:15:00 27/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [19:15:00 27/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [19:15:00 27/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 59 u1: mmHg rs: Final st: NotStopd t0: [19:15:00 27/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [19:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [19:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [19:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 91 u1: % st: NotStopd t0: [19:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 27/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 27/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 27/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 27/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 27/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 27/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 27/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 27/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 27/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 27/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: NotStopd t0: [20:00:00 27/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 27/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 27/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 27/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 27/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 27/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 27/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 27/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [20:00:00 27/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 27/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 27/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 27/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 27/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Oral Ulcers st: NotStopd t0: [20:00:00 27/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Oriented x 1 st: NotStopd t0: [20:00:00 27/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 27/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 27/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 27/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 27/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 27/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 27/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 27/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 27/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 27/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [20:00:00 27/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 27/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 27/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 27/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 27/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 27/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 27/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 27/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [20:00:00 27/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 27/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [20:00:00 27/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 27/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 27/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 27/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 27/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 27/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [20:00:00 27/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [20:00:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 27/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 27/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [19:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [20:00:00 27/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 27/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [19:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 27/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [21:00:00 27/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 27/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:00:00 27/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [21:00:00 27/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 27/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 27/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 27/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [21:00:00 27/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [21:00:00 27/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [21:00:00 27/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.4 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [21:00:00 27/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [21:00:00 27/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 27/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [21:00:00 27/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [21:00:00 27/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 91 u1: % st: NotStopd t0: [21:00:00 27/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 270 u1: ml/B st: NotStopd t0: [21:00:00 27/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 27/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [21:00:00 27/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 27/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd
t0: [00:05:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:05:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:05:00 28/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:05:00 28/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:05:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:05:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:05:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:05:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [00:05:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:05:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:05:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [00:05:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:05:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:05:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.5 u1: cmH2O st: NotStopd t0: [00:05:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [00:05:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:05:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:05:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:05:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:05:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:05:00 28/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT u1: BPM st: NotStopd t0: [00:05:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:05:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 220 u1: ml/B st: NotStopd t0: [00:05:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:05:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:05:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:05:00 28/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 27/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 27/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 27/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [22:00:00 27/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 27/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 27/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 27/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 27/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 27/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 27/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 132 u1: BPM st: NotStopd t0: [00:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 139 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [00:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [00:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 35 u1: BPM st: NotStopd t0: [00:00:00 28/05/2010] id: Significant Events el: 0 cu: MICU cg: RN v1: Dysrhythmia st: NotStopd t0: [00:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml t0: [00:00:00 28/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 28 vu: ml
t0: [22:00:00 27/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 25 cv: 25 ap: none t0: [23:00:00 28/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -15 cv: -15 ap: none t0: [23:00:00 28/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 10 cv: 2297 ap: none t0: [23:00:00 28/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 10 cv: 2357 ap: none t0: [23:00:00 28/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 25 cv: 644 ap: none t0: [23:00:00 28/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -15 cv: 1713 ap: none t0: [23:00:00 28/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 25 cv: 644 ap: none t0: [23:00:00 28/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -15 cv: 12145.6 ap: carryForward
tf: [01:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 2 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [02:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 28/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 14 vu: ml
t0: [02:00:00 28/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:12:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [05:12:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:12:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:12:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:12:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:12:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Endotracheal st: NotStopd t0: [05:12:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:12:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:12:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 3 st: NotStopd t0: [05:12:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:12:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:12:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 14.2 u1: cmH2O st: NotStopd t0: [05:12:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [05:12:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:12:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:12:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [05:12:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [05:12:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [05:12:00 28/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [05:12:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:12:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [05:12:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:12:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:12:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [05:12:00 28/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 28/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: RN v1: 71 rs: Manual st: NotStopd
t0: [05:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [05:00:00 28/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 21 vu: ml
t0: [04:00:00 28/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [05:26:00 28/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [05:26:00 28/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 5 rs: Final st: NotStopd t0: [05:26:00 28/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:26:00 28/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 28/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [05:26:00 28/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [05:00:00 28/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 21.4 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.7 u1: % rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 433 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 21.4 rs: Final st: NotStopd
t0: [05:00:00 28/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.1 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 85.3 rs: Final st: NotStopd
t0: [06:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [06:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 28/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 66 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 28/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [07:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [07:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [07:20:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [07:20:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:20:00 28/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:20:00 28/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:20:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:20:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [07:20:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [07:20:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:20:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [07:20:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:20:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.1 u1: L/min st: NotStopd t0: [07:20:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:20:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:20:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [07:20:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:20:00 28/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [07:20:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:20:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [07:20:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:20:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:20:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [07:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 28/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 28/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 28/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 28/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [08:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 28/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 28/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 28/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 28/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 28/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Blister st: NotStopd t0: [08:00:00 28/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 28/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 28/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Gluteal, Left st: NotStopd t0: [08:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 28/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 28/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 28/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [08:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 28/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 28/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 28/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 28/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 28/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 28/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 28/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 28/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 28/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 28/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 28/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 28/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 28/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [07:00:00 28/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml st: Stopped t0: [08:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 30 vu: ml
t0: [08:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [09:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [09:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [09:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [09:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 28/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [09:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [09:00:00 28/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 77 rs: Manual st: NotStopd t0: [10:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [10:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 28/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 28/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 28/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [10:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 28/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 28/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [10:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [11:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [11:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [11:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [11:21:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [11:21:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:21:00 28/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:21:00 28/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:21:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [11:21:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [11:21:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [11:21:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:21:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [11:21:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:21:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 4.5 u1: L/min st: NotStopd t0: [11:21:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:21:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:21:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [11:21:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [11:21:00 28/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:21:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:21:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [11:21:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:21:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 280 u1: ml/B st: NotStopd t0: [11:21:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:21:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:21:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
tf: [11:00:00 29/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml tf: [11:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg tf: [11:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Lorazepam f1: SYR v1: 0.5-1 u1: mg tf: [11:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 1 u1: gm
t0: [10:00:00 28/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [12:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 28/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [12:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 28/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 28/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 28/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 28/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 28/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [12:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 28/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 28/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 28/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [12:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 28/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 28/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 28/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 28/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 28/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 28/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 28/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 28/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 28/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 28/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 28/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 28/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 28/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [12:00:00 28/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 28/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd
tf: [12:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Dextrose 50% f1: INJ v1: 25 u1: gm
t0: [13:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [13:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 68 rs: Manual st: NotStopd t0: [13:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [13:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [13:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [13:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [13:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [13:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [13:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [13:15:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml
tf: [13:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Vecuronium Bromide f1: VIAL v1: 10 u1: mg tf: [13:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 14 dn: 1 m1: Propofol (Generic) f1: INJ v1: 10 u1: mg
t0: [14:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [14:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [14:15:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:15:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [14:15:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:15:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:15:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:15:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:15:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [14:15:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:15:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:15:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [14:15:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [14:15:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:15:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:15:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 7.5 vu: ml
t0: [15:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [15:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [15:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [15:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [15:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [15:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [15:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [15:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [15:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [16:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 28/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 28/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 28/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 28/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 28/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 28/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [16:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 28/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 28/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 28/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 28/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 28/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 28/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 28/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 28/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 28/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 28/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 28/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 28/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 28/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [16:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 28/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 28/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 28/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 28/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 28/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 28/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [16:00:00 28/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole f1: TAB v1: 500 u1: mg
t0: [17:12:00 28/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 14.8148 u1: ml/cmH st: NotStopd t0: [17:12:00 28/05/2010] id: RSBI (<100) el: 0 cu: MICU cg: -1 u1: units st: NotStopd t0: [17:12:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 32 v2: 21 st: NotStopd t0: [17:12:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:12:00 28/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [17:12:00 28/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [17:12:00 28/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 2.2 st: NotStopd t0: [17:12:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [17:12:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [17:12:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [17:12:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [17:12:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [17:12:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [17:12:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.6 u1: L/min st: NotStopd t0: [17:12:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [17:12:00 28/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [17:12:00 28/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [17:12:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [17:12:00 28/05/2010] id: RSBI (<200) el: 0 cu: MICU cg: -1 u1: units st: NotStopd t0: [17:12:00 28/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [17:12:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:12:00 28/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:12:00 28/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [17:12:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:12:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [17:12:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [17:12:00 28/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [17:12:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [17:12:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: SIMV+PS st: NotStopd t0: [17:12:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [17:12:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [17:12:00 28/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [16:15:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:15:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:15:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:15:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:15:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:15:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [16:15:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:15:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:15:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:15:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:15:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:15:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:15:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:30:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:30:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:30:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:30:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:30:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:30:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [16:30:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:30:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: Flat in Bed st: NotStopd t0: [16:30:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:30:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:30:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:30:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:30:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:30:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:30:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:30:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [16:30:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:30:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:30:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:30:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Clear v2: Tenacious st: NotStopd t0: [16:30:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [16:30:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:30:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [16:30:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [16:30:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:45:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:45:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [16:45:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:45:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:45:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [16:45:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:45:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [16:45:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [16:45:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:45:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:45:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Endotracheal st: NotStopd t0: [16:45:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:45:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:45:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [16:45:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [16:45:00 28/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Trach Percutan st: NotStopd t0: [16:45:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:45:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:45:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [16:45:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [16:45:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [16:45:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [16:45:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [17:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 28/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [17:00:00 28/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 28/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [17:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 2 To pain st: NotStopd t0: [17:00:00 28/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 28/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 7 u1: points st: NotStopd t0: [17:00:00 28/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [17:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [17:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 28/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [17:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [17:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [17:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [17:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [17:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [17:00:00 28/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 28/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 28/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 28/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [17:00:00 28/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 28/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 28/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [17:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [17:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [17:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 28/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [17:00:00 28/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [17:00:00 28/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [17:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 28/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [17:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [17:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [17:00:00 28/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 28/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 28/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [17:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [17:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 28/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 28/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:15:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:15:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [17:15:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:15:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:15:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:15:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [17:15:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:15:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:15:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [17:15:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:15:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:15:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:15:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:30:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [17:30:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:30:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [17:30:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:30:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:30:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:30:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [17:30:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:30:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 150 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [17:30:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [17:30:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [17:30:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [17:30:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:30:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:30:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [18:00:00 28/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 81 rs: Manual st: NotStopd
t0: [18:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [18:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [18:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [18:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [18:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [18:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [18:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 155 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [18:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [18:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg st: NotStopd t0: [18:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 28/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [19:00:00 28/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 28/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [19:00:00 28/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 28/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [19:00:00 28/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 28/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [19:00:00 28/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [19:00:00 28/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [18:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [17:00:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [18:00:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [18:00:00 28/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 28/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [18:00:00 28/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [19:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [19:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [19:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [19:00:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [19:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [19:00:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [19:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [19:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [19:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [19:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [19:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [19:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [19:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 60 ap: none
t0: [20:00:00 28/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 13.7931 u1: ml/cmH st: NotStopd t0: [20:00:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [20:00:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 28/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 28/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [20:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [20:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 28/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 28/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 28/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 28/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [20:00:00 28/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 28/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 28/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 33.5 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 28/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [20:00:00 28/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [20:00:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 28/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 28/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [20:00:00 28/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 28/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 28/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 28/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 28/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 28/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 28/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 28/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 28/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 28/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 28/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Obese st: NotStopd t0: [20:00:00 28/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 28/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 28/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 28/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 28/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 28/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 28/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 28/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [20:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 28/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 28/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 28/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 28/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 28/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 28/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 28/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 28/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 28/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 28/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 28/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [21:00:00 28/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [21:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [21:00:00 28/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 28/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [21:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 28/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [21:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 28/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [21:00:00 28/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [21:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 28/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [21:00:00 28/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [21:00:00 28/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [21:00:00 28/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [21:00:00 28/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [21:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 140 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [21:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [21:00:00 28/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 28/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 28/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [21:00:00 28/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [21:00:00 28/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [21:00:00 28/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [21:00:00 28/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [21:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 28/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [21:00:00 28/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 28/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [21:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 28/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [22:00:00 28/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd
t0: [20:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [22:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [22:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 28/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 28/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 28/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 28/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [23:00:00 28/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 28/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [23:00:00 28/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 28/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 28/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 28/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 28/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 28/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 28/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 28/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
tf: [22:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Propofol (Generic) f1: INJ v1: 100 u1: mg tf: [22:00:00 29/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Vecuronium Bromide f1: VIAL v1: 5 u1: mg
t0: [00:00:00 29/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [00:00:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [00:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 29/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 29/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [00:00:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 35.2 u1: Deg. C st: NotStopd t0: [00:00:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:00:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [00:00:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 29/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 29/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 29/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:00:00 29/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 29/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 29/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:00:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 29/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [00:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 29/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 29/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [00:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [00:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [00:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 130 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [00:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [00:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [00:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd t0: [00:00:00 29/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 63 rs: Manual st: NotStopd t0: [00:30:00 29/05/2010] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [00:30:00 29/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Change in Vitals st: NotStopd t0: [00:30:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [00:30:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:30:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:30:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [00:30:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:30:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 137 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:30:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:30:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [00:30:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:30:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [01:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [01:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml
t0: [23:00:00 29/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 30 cv: 30 ap: none t0: [23:00:00 29/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 38 cv: 38 ap: none t0: [23:00:00 29/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 1166.5 ap: none t0: [23:00:00 29/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 68 cv: 1796.5 ap: none t0: [23:00:00 29/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 30 cv: 1812 ap: none t0: [23:00:00 29/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 38 cv: -15.5 ap: none t0: [23:00:00 29/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 30 cv: 1812 ap: none t0: [23:00:00 29/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 38 cv: 12130.1 ap: carryForward
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: IV fr: PRN m1: Dextrose 50% f1: INJ v1: 12.5 u1: gm
t0: [01:00:00 29/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: RN v1: 93 rs: Manual st: NotStopd
t0: [00:00:00 29/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 29/05/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 29/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: RN st: NotStopd t0: [00:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd
t0: [01:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 29/05/2010] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 29/05/2010] id: Skin Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [01:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd
t0: [00:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [01:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [01:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 93 u1: BPM st: NotStopd t0: [01:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 149 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [01:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [02:00:00 29/05/2010] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [02:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [02:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [02:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [02:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 29/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 29/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [02:00:00 29/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: RN v1: Red st: NotStopd t0: [02:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [02:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [02:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 120 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 29/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [02:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Activity el: 0 cu: MICU cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Mobility el: 0 cu: MICU cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Moisture el: 0 cu: MICU cg: RN v1: Rarely Moist st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: RN v1: Prob. Inadequate st: NotStopd t0: [02:00:00 29/05/2010] id: Braden Score el: 0 cu: MICU cg: RN v1: 14 u1: number st: NotStopd t0: [02:00:00 29/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: RN v1: Sl. Limited st: NotStopd
t0: [02:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml
tf: [03:00:00 30/05/2010] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 4, dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [04:00:00 29/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [04:00:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [04:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 29/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 29/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1:3.3 st: NotStopd t0: [04:00:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [04:00:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [04:00:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:00:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [04:00:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 29/05/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 29/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 22.6 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 29/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 29/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [04:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 29/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 29/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 29/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 210 u1: ml/B st: NotStopd t0: [04:00:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:00:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 29/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [05:10:00 29/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [05:10:00 29/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:10:00 29/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:10:00 29/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 29/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 149 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 29/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [00:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [03:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [03:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [03:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [04:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [04:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [04:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [04:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [04:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [04:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Supine st: NotStopd t0: [04:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [04:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Back st: NotStopd t0: [04:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 29/05/2010] id: Pain Present el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [05:00:00 29/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: RN v1: Non-verbal cues st: NotStopd t0: [05:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [05:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [05:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [05:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [05:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 1 No Response st: NotStopd t0: [05:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 8 u1: points st: NotStopd t0: [05:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [05:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [05:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [05:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [05:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [05:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Hypoactive st: NotStopd t0: [06:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: RN v1: Incr Visibility st: NotStopd t0: [06:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [06:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [06:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [06:00:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: RN v1: 3 v2: 21 st: NotStopd t0: [06:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: No st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [06:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [06:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [06:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [06:00:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: RN v1: 6.0 mm st: NotStopd t0: [06:00:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: RN v1: Tracheostomy st: NotStopd t0: [06:00:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: RN v1: 3 v2: 8 st: NotStopd t0: [06:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [06:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [06:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RN v1: 15 u1: # st: NotStopd t0: [06:00:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RN v1: 7200A st: NotStopd t0: [06:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 40 vu: ml
t0: [05:00:00 29/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 73 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 32.7 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.1 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [06:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Rectal st: NotStopd t0: [06:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [06:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [07:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:19:00 29/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 17.3913 u1: ml/cmH st: NotStopd t0: [07:19:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [07:19:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:19:00 29/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:19:00 29/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:19:00 29/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 3.3 st: NotStopd t0: [07:19:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [07:19:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [07:19:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [07:19:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:19:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [07:19:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:19:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.4 u1: L/min st: NotStopd t0: [07:19:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:19:00 29/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [07:19:00 29/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:19:00 29/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [07:19:00 29/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:19:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:19:00 29/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:19:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [07:19:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:19:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [07:19:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:19:00 29/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [07:19:00 29/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [07:19:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: SIMV+PS st: NotStopd t0: [07:19:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:19:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [07:19:00 29/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [07:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [07:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [07:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [07:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [08:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [08:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 29/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd
t0: [08:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 0 vu: ml nb: 1
t0: [08:00:00 29/05/2010] tf: [00:00:00 31/05/2010] dt: 2400 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 29/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 413 rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.13 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 29/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 14.7 rs: Final st: NotStopd
t0: [08:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 29/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 29/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 29/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 29/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Red st: NotStopd t0: [08:00:00 29/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [08:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 29/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 29/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 29/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 29/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 29/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 29/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 29/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 29/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:30:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:30:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:30:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:30:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:30:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:30:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [08:30:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:30:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:30:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [08:30:00 29/05/2010] id: Radiologic Study el: 0 cu: MICU cg: -1 v1: Chest Xray st: NotStopd t0: [08:30:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:30:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:30:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:30:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [09:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [09:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [09:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 29/05/2010] tf: [00:00:00 31/05/2010] dt: 2340 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [09:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [10:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [10:00:00 29/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 101 rs: Manual st: NotStopd
t0: [10:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [10:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [05:00:00 29/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: -1 v1: 28.9 u1: % rs: Final st: NotStopd
t0: [10:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml nb: 1
t0: [10:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [11:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [11:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [11:00:00 29/05/2010] tf: [12:00:00 29/05/2010] dt: 60 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [11:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:19:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [11:19:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [11:19:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:19:00 29/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:19:00 29/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:19:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [11:19:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [11:19:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [11:19:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:19:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [11:19:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 4.9 u1: L/min st: NotStopd t0: [11:19:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:19:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:19:00 29/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [11:19:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [11:19:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:19:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:19:00 29/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [11:19:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:19:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:19:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [11:26:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [11:32:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:32:00 29/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 0.02 u1: ml/B st: NotStopd t0: [11:32:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:32:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
tf: [05:00:00 30/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT tf: [11:00:00 30/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [10:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [12:00:00 29/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [12:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 29/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 29/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 29/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [12:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Small st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 29/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [12:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [12:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 29/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [12:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 29/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [12:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 29/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 29/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 29/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 29/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 29/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 29/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 29/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [12:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml st: Stopped
t0: [12:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [13:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [13:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [13:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [13:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [13:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [13:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [13:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml t0: [13:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vu: ml
t0: [13:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 29/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Not Done v2: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
tf: [12:00:00 30/05/2010] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Acetylcysteine 20% f1: INJ v1: 200 u1: mg
t0: [13:00:00 29/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [13:00:00 29/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [13:30:00 29/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 106 rs: Manual st: NotStopd
t0: [14:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [14:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [14:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 9 vu: ml
t0: [14:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 29/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 101.1 rs: Final st: NotStopd
t0: [14:30:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:30:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [14:30:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [14:30:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:30:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [14:30:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:30:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:30:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [15:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [15:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [15:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [15:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [15:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [15:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8.5 vu: ml
t0: [14:30:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:30:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:30:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd
t0: [14:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd
t0: [15:30:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:30:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [15:30:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:30:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:30:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [15:30:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:30:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 136 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:30:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [15:30:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:30:00 29/05/2010] id: Procedures el: 0 cu: MICU cg: -1 v1: Bronchoscopy st: NotStopd t0: [15:30:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:30:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:30:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:30:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 29/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 12.5 u1: ml/cmH st: NotStopd t0: [16:00:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [16:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 29/05/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 29/05/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 3.3 st: NotStopd t0: [16:00:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [16:00:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [16:00:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [16:00:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.4 u1: L/min st: NotStopd t0: [16:00:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 29/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [16:00:00 29/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 42 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [16:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 29/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 29/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [16:00:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [16:00:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 29/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [16:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 29/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 29/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 29/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 29/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 29/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 29/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [16:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [16:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [16:00:00 29/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 29/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 29/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 29/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 29/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 29/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [16:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [16:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 29/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 14 u1: number st: NotStopd t0: [16:00:00 29/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [16:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd
t0: [16:00:00 29/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 29/05/2010] id: Trach Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [17:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [17:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [17:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [17:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd
t0: [17:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [17:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [18:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [18:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [18:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [18:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [18:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 29/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [18:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [18:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 29/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 130 rs: Manual st: NotStopd
t0: [17:00:00 29/05/2010] tf: [00:00:00 31/05/2010] dt: 1860 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 0 vu: ml st: Restart t0: [17:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [18:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [18:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [18:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 180 ap: none
t0: [19:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [19:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [19:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 29/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.3934 u1: ml/cmH st: NotStopd t0: [20:00:00 29/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 29/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [20:00:00 29/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 29/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.3 st: NotStopd t0: [20:00:00 29/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [20:00:00 29/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [20:00:00 29/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.8 u1: Deg. C st: NotStopd t0: [20:00:00 29/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 29/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [20:00:00 29/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 29/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15.3 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [20:00:00 29/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [20:00:00 29/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [20:00:00 29/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 34.4 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26.2 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 29/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 29/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [20:00:00 29/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 29/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 29/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [20:00:00 29/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 29/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 29/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [20:00:00 29/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Medicated st: NotStopd t0: [20:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 29/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 29/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 29/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 29/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 29/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 29/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 29/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 29/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [20:00:00 29/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 29/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 29/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 29/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 29/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 29/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 29/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 29/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 29/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [20:00:00 29/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 29/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 29/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 29/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 29/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 29/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 29/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 29/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 29/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 29/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 29/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 29/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 29/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 29/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 29/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 29/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 29/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 29/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 29/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 29/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 29/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 29/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 29/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 29/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 29/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 29/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [20:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [21:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [21:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [21:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [21:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [21:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:12:00 29/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 99.6 rs: Final st: NotStopd
t0: [00:00:00 30/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16 u1: ml/cmH st: NotStopd t0: [00:00:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [00:00:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.3 st: NotStopd t0: [00:00:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [00:00:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [00:00:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [00:00:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13.6 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 9.23 u1: L/min st: NotStopd t0: [00:00:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [00:00:00 30/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [00:00:00 30/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 29.7 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 30/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [00:00:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 30/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [00:00:00 30/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [00:00:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 30/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [22:00:00 29/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 29/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 29/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 29/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [22:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 29/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 29/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 29/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [22:00:00 29/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 29/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 29/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 29/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 29/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 29/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 29/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 29/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 29/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 29/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 29/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 29/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 29/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 29/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 29/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 29/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 29/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 29/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [23:00:00 29/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 29/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 29/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 29/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 29/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:00:00 29/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:00:00 29/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [00:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [00:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [00:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [00:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 30/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 30/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 124 rs: Manual st: NotStopd t0: [00:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [22:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [22:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [23:00:00 29/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 29/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 29/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [00:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [22:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 50 cv: 450 ap: none
t0: [01:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [01:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [01:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [01:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [01:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 30/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [02:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [02:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [02:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [02:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [02:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [02:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 30/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.2 u1: % rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 416 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.12 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [03:00:00 30/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 96.5 rs: Final st: NotStopd
t0: [03:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [03:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [04:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 30/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [03:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [03:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [04:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [04:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [03:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 21.5054 u1: ml/cmH st: NotStopd t0: [04:00:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [04:00:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:3.3 st: NotStopd t0: [04:00:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [04:00:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [04:00:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 6 st: NotStopd t0: [04:00:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [04:00:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [04:00:00 30/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [04:00:00 30/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 28.6 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 25.2 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 30/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 30/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [04:00:00 30/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [04:00:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 30/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [05:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [05:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [05:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [05:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 30/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 26 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 100 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 146 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:00:00 30/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [06:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [06:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [06:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [06:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [06:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [05:00:00 31/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 6 dn: 1 m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml
t0: [06:21:00 30/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.55 rs: Final st: NotStopd t0: [06:21:00 30/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:21:00 30/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [06:21:00 30/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 30/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [06:21:00 30/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.55 rs: Final st: NotStopd
t0: [07:15:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:15:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [07:15:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:15:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:15:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:15:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:15:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [07:15:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:15:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:15:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [07:15:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [07:15:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:15:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:15:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:15:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [07:15:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:15:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 62.5 vu: ml
t0: [07:15:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 30/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [08:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [08:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 30/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [08:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [08:00:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 30/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [08:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [08:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 30/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 7.5 vu: ml t0: [08:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [08:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 37.5 vu: ml
t0: [08:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 30/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 20 u1: ml/cmH st: NotStopd t0: [08:30:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [08:30:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [08:30:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:30:00 30/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 3.3 st: NotStopd t0: [08:30:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [08:30:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [08:30:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35 u1: Deg. C st: NotStopd t0: [08:30:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:30:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [08:30:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [08:30:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:30:00 30/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:30:00 30/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:30:00 30/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:30:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:30:00 30/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:30:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:30:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:30:00 30/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [08:30:00 30/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:30:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:30:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [08:30:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [08:30:00 30/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
tf: [08:00:00 31/05/2010] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate f1: INJ v1: 4 u1: gm m2: NS f2: INJ v2: 250 u2: ml
t0: [09:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [09:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [09:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [09:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [09:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [09:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [09:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [09:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:05:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [09:05:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [09:05:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [09:05:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [09:05:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [09:05:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [09:05:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [09:05:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 4.3 u1: L/min st: NotStopd t0: [09:05:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [09:05:00 30/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [09:05:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:05:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:05:00 30/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [09:05:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP st: NotStopd t0: [09:05:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [09:05:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [09:30:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [09:30:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 4 vu: ml t0: [09:30:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml
t0: [10:30:00 30/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [10:30:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:30:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [10:30:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:30:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:30:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:30:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [10:30:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:30:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:30:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [10:30:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:30:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [10:30:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:30:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:30:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:30:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [10:30:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [10:30:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [10:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [11:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 30/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Not Done st: NotStopd t0: [11:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [11:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [11:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [11:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [11:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [11:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 5 vu: ml t0: [11:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 4 vu: ml t0: [11:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 25 vu: ml
t0: [11:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 31/05/2010] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Neutra-Phos f1: PWDR v1: 2 u1: PKT
t0: [12:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [12:00:00 30/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 30/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [12:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [12:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [12:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [12:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [12:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 120 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [12:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 30/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [12:00:00 30/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [12:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 30/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 30/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 30/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [12:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [12:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:18:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [12:18:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [12:18:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:18:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [12:18:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:18:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [12:18:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [12:18:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [12:18:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [12:18:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [12:18:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:18:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:18:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.6 u1: cmH2O st: NotStopd t0: [12:18:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.7 u1: L/min st: NotStopd t0: [12:18:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:18:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [12:18:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:18:00 30/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [12:18:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:18:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [12:18:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:18:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:18:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:18:00 30/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [12:18:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:18:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [12:18:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [12:45:00 30/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 205 rs: Manual st: NotStopd
t0: [12:47:00 30/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [12:47:00 30/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [12:47:00 30/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [12:47:00 30/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 30/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [12:47:00 30/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [13:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [13:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [13:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [13:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [13:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [13:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [13:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [19:00:00 01/06/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml
t0: [13:45:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 7.5 vu: ml t0: [13:45:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [13:45:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 45 vu: ml
t0: [13:45:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:45:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:45:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:45:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [13:45:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:45:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [13:45:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:45:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [13:45:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:45:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [14:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [14:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [14:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [14:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [14:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 2.5 vu: ml t0: [14:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 2 vu: ml t0: [14:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 15 vu: ml
t0: [13:45:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [15:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [15:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [15:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [15:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [15:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [15:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [15:00:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [15:00:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [15:00:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [15:00:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [15:00:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [15:00:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [15:00:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [15:00:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.5 u1: cmH2O st: NotStopd t0: [15:00:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.9 u1: L/min st: NotStopd t0: [15:00:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [15:00:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 30/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 14 u1: . st: NotStopd t0: [15:00:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [15:00:00 30/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 280 u1: ml/B st: NotStopd t0: [15:00:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:00:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [15:00:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [16:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [16:00:00 30/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [16:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [16:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [16:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [16:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [16:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [16:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 30/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 30/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [16:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [16:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [16:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [16:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 30/05/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Loose st: NotStopd t0: [16:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [16:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 30/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [16:00:00 30/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [16:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [16:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 30/05/2010] id: Trach Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [17:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [17:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [17:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [17:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [17:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [17:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [17:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [17:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [17:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [23:00:00 30/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 60 ap: none
t0: [18:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [18:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [18:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 30/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [18:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [18:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 133 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [18:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [18:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [18:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [18:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [18:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [18:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [18:00:00 30/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 189 rs: Manual st: NotStopd
t0: [18:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [18:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [18:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [19:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [19:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [19:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [19:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [19:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 30/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 30/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 30/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 30/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 30/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 30/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [20:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 30/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 30/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 30/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 30/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 147 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [20:00:00 30/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [20:00:00 30/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 30/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 30/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 30/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 30/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [20:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 30/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 30/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 30/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [20:00:00 30/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 30/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 30/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 30/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 30/05/2010] id: Trach Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 30/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [20:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [20:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 30/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 30/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 30/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 30/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 30/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 30/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 30/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [20:00:00 30/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 30/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 30/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 30/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 30/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 30/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd
t0: [20:00:00 30/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 30/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [20:00:00 30/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 30/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 30/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 30/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [20:00:00 30/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [20:00:00 30/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.8 u1: Deg. C st: NotStopd t0: [20:00:00 30/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [20:00:00 30/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 30/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 30/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.7 u1: cmH2O st: NotStopd t0: [20:00:00 30/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.37 u1: L/min st: NotStopd t0: [20:00:00 30/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 30/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [20:00:00 30/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [20:00:00 30/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 14 u1: . st: NotStopd t0: [20:00:00 30/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [20:00:00 30/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 30/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 210 u1: ml/B st: NotStopd t0: [20:00:00 30/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 30/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [20:00:00 30/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [21:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [21:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [21:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [21:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [21:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [21:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [21:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 30/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [22:00:00 30/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 30/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 30/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [22:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 30/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 30/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 30/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [22:00:00 30/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [22:00:00 30/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [22:00:00 30/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 30/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 30/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 30/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 30/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [22:00:00 30/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 30/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 30/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 30/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 30/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [22:00:00 30/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [22:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [22:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 30/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [23:00:00 30/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 30/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 30/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [23:00:00 30/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 30/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 30/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 30/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 30/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [23:00:00 30/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 30/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 30/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 30/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [23:00:00 30/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [23:00:00 30/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 50 cv: 50 ap: none t0: [23:00:00 30/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: 38 cv: 38 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 2782 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 88 cv: 4222 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 pv: 70 cv: 1380 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 50 cv: 1384 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: 38 cv: 2838 ap: none t0: [23:00:00 30/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 50 cv: 1384 ap: none t0: [23:00:00 30/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: 38 cv: 14968.1 ap: carryForward
t0: [00:15:00 31/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [00:15:00 31/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [00:15:00 31/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:15:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [00:15:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:15:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [00:15:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [00:15:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.2 u1: Deg. C st: NotStopd t0: [00:15:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:15:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [00:15:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:15:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:15:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 8.2 u1: cmH2O st: NotStopd t0: [00:15:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.91 u1: L/min st: NotStopd t0: [00:15:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:15:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [00:15:00 31/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [00:15:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 14 u1: . st: NotStopd t0: [00:15:00 31/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:15:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:15:00 31/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:15:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [00:15:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [00:15:00 31/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [00:15:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [00:15:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [00:15:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [00:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [00:00:00 31/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [00:00:00 31/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 31/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 31/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 31/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [00:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 31/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 31/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 31/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 31/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [00:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [00:00:00 31/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 31/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 31/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 31/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 31/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 31/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [00:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 31/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 31/05/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 31/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 94 u1: % st: NotStopd t0: [00:00:00 31/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 31/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/05/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 31/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 105 rs: Manual st: NotStopd t0: [00:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [01:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [01:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vu: ml st: Stopped t0: [00:00:00 31/05/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vu: ml st: Stopped t0: [01:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [00:00:00 31/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 31/05/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 0 ap: none
t0: [02:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [02:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [02:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [04:00:00 31/05/2010] id: ETT Mark/Location el: 0 cu: MICU cg: -1 v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 31/05/2010] id: Extubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [04:00:00 31/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [04:00:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [04:00:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.1 u1: Deg. C st: NotStopd t0: [04:00:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [04:00:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [04:00:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 8.18 u1: L/min st: NotStopd t0: [04:00:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [04:00:00 31/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [04:00:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 14 u1: . st: NotStopd t0: [04:00:00 31/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 31/05/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 260 u1: ml/B st: NotStopd t0: [04:00:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [04:00:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [03:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [03:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [03:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 31/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 31/05/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [04:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 31/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 31/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 31/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 31/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 31/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 31/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 31/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [04:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 31/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 31/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [04:00:00 31/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 31/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 31/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [04:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 31/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 31/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 31/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 31/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 31/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [05:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [05:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [05:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [01:00:00 31/05/2010] tf: [05:00:00 01/06/2010] dt: 1680 id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:48:00 31/05/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.3 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 32.7 rs: Final st: NotStopd
t0: [04:48:00 31/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.9 u1: % rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 365 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.39 u1: /mic l rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 8.4 rs: Final st: NotStopd
t0: [04:48:00 31/05/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 105 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [04:48:00 31/05/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [06:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 90 degrees st: NotStopd t0: [06:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [06:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [06:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [06:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [07:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [07:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [07:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [07:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [07:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [07:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [07:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [08:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 31/05/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 16.5289 u1: ml/cmH st: NotStopd t0: [08:00:00 31/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 1:4.6 st: NotStopd t0: [08:00:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [08:00:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [08:00:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.4 u1: Deg. C st: NotStopd t0: [08:00:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [08:00:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [08:00:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 4.89 u1: L/min st: NotStopd t0: [08:00:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 31/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [08:00:00 31/05/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 29.2 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 24.5 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 0 u1: . st: NotStopd t0: [08:00:00 31/05/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [08:00:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 31/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thin st: NotStopd t0: [08:00:00 31/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 31/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [08:00:00 31/05/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:00:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [08:00:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 31/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [08:00:00 31/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Grimace Scale st: NotStopd t0: [08:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 31/05/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 31/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 31/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 31/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 31/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [08:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 31/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 31/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 31/05/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 31/05/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [08:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 31/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 31/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 31/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:30:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:30:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:30:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 126 u1: BPM st: NotStopd t0: [08:30:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 145 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:30:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [08:30:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:30:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:30:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [08:30:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [09:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [09:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [09:00:00 31/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [09:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [09:00:00 31/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [09:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [09:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [09:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [09:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [09:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [09:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [09:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:00:00 31/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [09:00:00 31/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 st: NotStopd t0: [09:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [09:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [09:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [09:00:00 31/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 31/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [09:00:00 31/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [09:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [09:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [09:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Hypoactive st: NotStopd
t0: [09:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [09:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [09:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [09:42:00 31/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [09:42:00 31/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [09:42:00 31/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 32 rs: Final st: NotStopd t0: [09:42:00 31/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [09:42:00 31/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [09:42:00 31/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [10:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [10:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [10:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [10:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd
t0: [10:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [10:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [11:00:00 31/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:00:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [11:00:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [11:00:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:00:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2.5 st: NotStopd t0: [11:00:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.7 u1: cmH2O st: NotStopd t0: [11:00:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 4.67 u1: L/min st: NotStopd t0: [11:00:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:00:00 31/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [11:00:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 15 u1: . st: NotStopd t0: [11:00:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:00:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:00:00 31/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [11:00:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:00:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:00:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [11:00:00 31/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [11:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [12:00:00 31/05/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/05/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 31/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 31/05/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [12:00:00 31/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [12:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 31/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 31/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 31/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 31/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [12:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [12:00:00 31/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [12:00:00 31/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [12:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [12:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 31/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 31/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [12:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 31/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 31/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [12:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 31/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [12:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 31/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 31/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 31/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 31/05/2010] id: Stool Guaiac el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 31/05/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.1667 u1: Deg. C st: NotStopd t0: [12:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.1 u1: Deg. F st: NotStopd t0: [12:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [12:00:00 31/05/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 111 rs: Manual st: NotStopd t0: [12:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 31/05/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 31/05/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [12:18:00 31/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [12:18:00 31/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [12:18:00 31/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 30 rs: Final st: NotStopd t0: [12:18:00 31/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [12:18:00 31/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [12:18:00 31/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [13:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 31/05/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [13:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [13:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [13:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [13:00:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 12 u1: . st: NotStopd
t0: [14:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [14:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [14:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [14:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:30:00 31/05/2010] id: Procedures el: 0 cu: MICU cg: RN v1: PEG Inserted st: NotStopd t0: [14:30:00 31/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN st: NotStopd
t0: [16:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 0 vu: ml
t0: [16:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [16:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: NPO st: NotStopd t0: [16:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [16:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [16:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 9 st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [16:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [16:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [16:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [16:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 31/05/2010] id: Oral Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [16:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [16:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/05/2010] id: Radiologic Study el: 0 cu: MICU cg: RN v1: Chest Xray st: NotStopd t0: [16:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 30 u1: BPM st: NotStopd t0: [16:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [16:00:00 31/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [16:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [16:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [16:00:00 31/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 31/05/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 31/05/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [17:00:00 31/05/2010] tf: [05:00:00 01/06/2010] dt: 720 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 31/05/2010] tf: [12:54:00 04/06/2010] dt: 5514 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [16:00:00 31/05/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [16:00:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [16:00:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 35.2 u1: Deg. C st: NotStopd t0: [16:00:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [16:00:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2.5 st: NotStopd t0: [16:00:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.1 u1: cmH2O st: NotStopd t0: [16:00:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.14 u1: L/min st: NotStopd t0: [16:00:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 31/05/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [16:00:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 12 u1: . st: NotStopd t0: [16:00:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 31/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 210 u1: ml/B st: NotStopd t0: [16:00:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [16:00:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 31/05/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [17:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [17:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [17:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 122 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [17:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [17:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 31/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [18:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [18:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [18:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 123 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [18:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 8 vu: ml
t0: [18:00:00 31/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/05/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: RN cv: 95 ap: none
t0: [19:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [19:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [19:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [19:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 138 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [19:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [19:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [19:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 31/05/2010] id: Back Care el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [19:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 31/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [20:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [20:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: RN v1: 136 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [20:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [20:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 31/05/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [20:00:00 31/05/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 31/05/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 16 vu: ml
t0: [20:00:00 31/05/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:52:00 31/05/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [20:52:00 31/05/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 3 rs: Final st: NotStopd t0: [20:52:00 31/05/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [20:52:00 31/05/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [20:52:00 31/05/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [20:52:00 31/05/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.37 rs: Final st: NotStopd
t0: [20:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [20:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 31/05/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 31/05/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 31/05/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 31/05/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [20:00:00 31/05/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 31/05/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 31/05/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 31/05/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 31/05/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [20:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 31/05/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 31/05/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 31/05/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 31/05/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/05/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [21:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 31/05/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [21:00:00 31/05/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 31/05/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [21:00:00 31/05/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 31/05/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [21:00:00 31/05/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [21:00:00 31/05/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [21:00:00 31/05/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [21:00:00 31/05/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [21:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [21:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [21:00:00 31/05/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [21:00:00 31/05/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [21:00:00 31/05/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [21:00:00 31/05/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [21:00:00 31/05/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [21:00:00 31/05/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [21:00:00 31/05/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [21:00:00 31/05/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [21:00:00 31/05/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 31/05/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [21:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 144 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [21:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [21:00:00 31/05/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [21:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 31/05/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 31/05/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [21:00:00 31/05/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [21:00:00 31/05/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [21:00:00 31/05/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [21:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [21:00:00 31/05/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 31/05/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [21:00:00 31/05/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 31/05/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [21:00:00 31/05/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 31/05/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [21:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [21:00:00 31/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:50:00 31/05/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:50:00 31/05/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:50:00 31/05/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [20:50:00 31/05/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:50:00 31/05/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [20:50:00 31/05/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:50:00 31/05/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [20:50:00 31/05/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:50:00 31/05/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:50:00 31/05/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [20:50:00 31/05/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [20:50:00 31/05/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:50:00 31/05/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:50:00 31/05/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:50:00 31/05/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [20:50:00 31/05/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:50:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:50:00 31/05/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [20:50:00 31/05/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:50:00 31/05/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:50:00 31/05/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [22:00:00 31/05/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [22:00:00 31/05/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 31/05/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 31/05/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [22:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 31/05/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 31/05/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 31/05/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 31/05/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 31/05/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 31/05/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 31/05/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 31/05/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 31/05/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 31/05/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 31/05/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 31/05/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 31/05/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [22:00:00 31/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/05/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 31/05/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 31/05/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 31/05/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 31/05/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 31/05/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [23:00:00 31/05/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 31/05/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:00:00 31/05/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [23:00:00 31/05/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 31/05/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [23:00:00 31/05/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 31/05/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Incr Visibility st: NotStopd t0: [00:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 01/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [00:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 01/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [00:00:00 01/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 01/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 01/06/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 01/06/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 01/06/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [00:00:00 01/06/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [00:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [00:00:00 01/06/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 01/06/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [00:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 01/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [00:00:00 01/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 01/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [00:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [00:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [23:00:00 31/05/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [23:00:00 31/05/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [00:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [23:00:00 31/05/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/05/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 pv: 60 cv: 60 ap: none t0: [23:00:00 31/05/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 pv: -42 cv: -42 ap: none t0: [23:00:00 31/05/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 pv: 18 cv: 326 ap: none t0: [23:00:00 31/05/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 pv: 18 cv: 421 ap: none t0: [23:00:00 31/05/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 pv: 60 cv: 1011 ap: none t0: [23:00:00 31/05/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 pv: -42 cv: -590 ap: none t0: [23:00:00 31/05/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 pv: 60 cv: 1011 ap: none t0: [23:00:00 31/05/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 pv: -42 cv: 14378.1 ap: carryForward
t0: [01:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [01:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [01:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [01:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 90 u1: % st: NotStopd t0: [01:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:10:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:10:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [01:10:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [01:10:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:10:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [01:10:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [01:10:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [01:10:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:10:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:10:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:10:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [01:10:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:10:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [01:10:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [01:10:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [01:10:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [01:10:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [01:10:00 01/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 240 u1: ml/B st: NotStopd t0: [01:10:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [01:10:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [01:10:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [01:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [01:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/06/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 01/06/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 01/06/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 cv: 402 ap: none t0: [23:00:00 01/06/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 cv: 687 ap: none t0: [23:00:00 01/06/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 730 ap: none t0: [23:00:00 01/06/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 cv: -43 ap: carryForward t0: [23:00:00 01/06/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 730 ap: carryForward t0: [23:00:00 01/06/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 cv: 14335.1 ap: carryForward
t0: [01:00:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [01:00:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [01:00:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [01:00:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [01:00:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [01:00:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd
t0: [00:00:00 01/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 01/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [02:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [02:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [02:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [03:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [03:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [03:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:22:00 01/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.3 u1: % rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 338 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.33 u1: /mic l rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.1 rs: Final st: NotStopd
t0: [03:22:00 01/06/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 123.7 rs: Final st: NotStopd
t0: [04:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 01/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [04:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 01/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 01/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 01/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 01/06/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 01/06/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 01/06/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 01/06/2010] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU cg: -1 v1: 0.5 cm st: NotStopd t0: [04:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 01/06/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 01/06/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [04:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 01/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 01/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 01/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [04:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml
t0: [04:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:05:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [05:05:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [05:05:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [05:05:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:05:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [05:05:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:05:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34.1 u1: Deg. C st: NotStopd t0: [05:05:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [05:05:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [05:05:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:05:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:05:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [05:05:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [05:05:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:05:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [05:05:00 01/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [05:05:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [05:05:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [05:05:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [05:05:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:05:00 01/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 250 u1: ml/B st: NotStopd t0: [05:05:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [05:05:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [05:05:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [05:05:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [05:05:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:05:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [05:05:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [05:45:00 01/06/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [05:45:00 01/06/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.12 u1: L st: NotStopd
t0: [05:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [05:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [05:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [05:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [05:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [06:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [06:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Back st: NotStopd t0: [06:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vu: ml st: Stopped t0: [06:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [05:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [03:22:00 01/06/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 106 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:22:00 01/06/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [07:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [07:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [07:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [08:00:00 01/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 01/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/06/2010] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Gravity v2: Bilious st: NotStopd t0: [08:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [08:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 01/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 01/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 01/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 01/06/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 01/06/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 01/06/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 v1: Abrasion st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Drain/Amt #3 el: 0 cu: MICU cg: -1 v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 01/06/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 01/06/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 01/06/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 v1: Facial st: NotStopd t0: [08:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [08:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [08:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 01/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 01/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 01/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [07:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [08:00:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [08:00:00 01/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [08:00:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [08:00:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [08:00:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [08:00:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 4.6 u1: L/min st: NotStopd t0: [08:00:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 01/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 01/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [08:00:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [08:00:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [08:00:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [08:00:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [09:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 01/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [09:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 01/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [09:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [09:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Axillary st: NotStopd t0: [09:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [09:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [09:00:00 01/06/2010] id: trach care el: 0 cu: MICU cg: -1 v1: done
t0: [10:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [10:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [10:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 93 u1: mmHg st: NotStopd t0: [10:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [10:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [11:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [11:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 125 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [11:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [12:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 01/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 01/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [12:00:00 01/06/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 01/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/06/2010] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [12:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 154 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [12:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [12:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [13:00:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [13:00:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [13:00:00 01/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:00:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [13:00:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:00:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [13:00:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [13:00:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:00:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [13:00:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [13:00:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [13:00:00 01/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Not Applicable st: NotStopd t0: [13:00:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [13:00:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [13:00:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [13:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 96 u1: % st: NotStopd t0: [13:00:00 01/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 230 u1: ml/B st: NotStopd t0: [13:00:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [13:00:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [13:00:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [13:00:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [13:00:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [13:00:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 01/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 125 rs: Manual st: NotStopd t0: [13:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [13:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [13:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [08:00:00 01/06/2010] id: Trach Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 u1: mmHg st: NotStopd t0: [13:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [13:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [14:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [14:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [14:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [15:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 01/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [15:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [15:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [15:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [15:00:00 01/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 01/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/06/2010] tf: [12:54:00 04/06/2010] dt: 4374 id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [13:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [14:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [15:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [15:00:00 01/06/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Medium
t0: [16:16:00 01/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:16:00 01/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:16:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd
t0: [17:00:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [17:00:00 01/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: RRT v1: 14.8148 u1: ml/cmH st: NotStopd t0: [17:00:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [17:00:00 01/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: I:E Ratio el: 0 cu: MICU cg: RRT v1: 1;2 st: NotStopd t0: [17:00:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [17:00:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [17:00:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [17:00:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2.5 st: NotStopd t0: [17:00:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [17:00:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [17:00:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [17:00:00 01/06/2010] id: Peak Flow el: 0 cu: MICU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:00:00 01/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [17:00:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 12 u1: . st: NotStopd t0: [17:00:00 01/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [17:00:00 01/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:00:00 01/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [17:00:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [17:00:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [17:00:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [17:00:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [17:00:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [17:00:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 01/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 01/06/2010] id: Chest PT R/L el: 0 cu: MICU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 01/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 01/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 01/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/06/2010] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 127 u1: BPM st: NotStopd t0: [16:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 01/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [16:00:00 01/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 01/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 01/06/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 01/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [16:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 179 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [16:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg st: NotStopd t0: [16:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [16:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [16:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 01/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 01/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 01/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.4444 u1: Deg. C st: NotStopd t0: [16:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 97.6 u1: Deg. F st: NotStopd t0: [16:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [17:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [17:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [17:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 9 u1: BPM st: NotStopd t0: [17:00:00 01/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 94 u1: % st: NotStopd t0: [17:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 01/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 10 vu: ml t0: [16:00:00 01/06/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Large t0: [17:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [23:00:00 01/06/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 135 ap: none t0: [23:00:00 01/06/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [17:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [18:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [18:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [18:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [19:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [19:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [19:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [19:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/06/2010] tf: [12:00:00 02/06/2010] dt: 1020 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [19:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [19:00:00 01/06/2010] tf: [02:00:00 02/06/2010] dt: 420 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 01/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 3 v2: 22 st: NotStopd t0: [20:00:00 01/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 13.5593 u1: ml/cmH st: NotStopd t0: [20:00:00 01/06/2010] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [20:00:00 01/06/2010] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 01/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:4 st: NotStopd t0: [20:00:00 01/06/2010] id: Airway Size el: 0 cu: MICU cg: CRT v1: 6.0 mm st: NotStopd t0: [20:00:00 01/06/2010] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [20:00:00 01/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 01/06/2010] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 01/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 3 st: NotStopd t0: [20:00:00 01/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 01/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 11.7 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5.5 u1: L/min st: NotStopd t0: [20:00:00 01/06/2010] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [20:00:00 01/06/2010] id: Peak Flow el: 0 cu: MICU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 01/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 34.5 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 22.5 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 01/06/2010] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 0 u1: . st: NotStopd t0: [20:00:00 01/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 3 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 13 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: CRT v1: 99 u1: % st: NotStopd t0: [20:00:00 01/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 01/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 01/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [20:00:00 01/06/2010] id: Trach Size el: 0 cu: MICU cg: CRT v1: #6 st: NotStopd t0: [20:00:00 01/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [20:00:00 01/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [20:00:00 01/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 01/06/2010] id: Ventilator No. el: 0 cu: MICU cg: CRT v1: 15 u1: # st: NotStopd t0: [20:00:00 01/06/2010] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: 7200A st: NotStopd t0: [20:00:00 01/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
tf: [17:00:00 04/06/2010] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml
t0: [20:00:00 01/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [20:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [20:00:00 01/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 01/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 01/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 01/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 01/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 01/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 01/06/2010] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: -1 v1: Feeding st: NotStopd t0: [20:00:00 01/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 01/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 01/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 01/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [20:00:00 01/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 01/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 01/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 01/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 01/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 01/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 01/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 01/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 01/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 01/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 01/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 01/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 01/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 01/06/2010] id: Pain Cause el: 0 cu: MICU cg: -1 v1: Incisional st: NotStopd t0: [20:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 01/06/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [20:00:00 01/06/2010] id: Pain Type el: 0 cu: MICU cg: -1 v1: Constant st: NotStopd t0: [20:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 01/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 01/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 01/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 01/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 01/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 01/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 01/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 01/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 01/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 01/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 01/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [20:00:00 01/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 01/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 01/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [20:00:00 01/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [20:00:00 01/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 01/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 8 vu: ml t0: [20:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [20:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [21:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [21:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 01/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 01/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [22:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [22:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 01/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [22:00:00 01/06/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [22:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [22:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [22:00:00 01/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 16 vu: ml t0: [22:00:00 01/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 20 vu: ml
t0: [21:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/06/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 150 ap: none
t0: [23:00:00 01/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 01/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 01/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 01/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 01/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [23:00:00 01/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 01/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 01/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 01/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 01/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [23:00:00 01/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [23:00:00 01/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 02/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 02/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 22 st: NotStopd t0: [00:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [00:00:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [00:00:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [00:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 02/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [00:00:00 02/06/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push v2: IV Push st: NotStopd t0: [00:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [00:00:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: -1 v1: Yes v2: No st: NotStopd t0: [00:00:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: -1 v1: #6 st: NotStopd t0: [00:00:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: -1 v1: Shiley st: NotStopd t0: [00:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [00:00:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 126 rs: Manual st: NotStopd
t0: [00:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 16 vu: ml t0: [00:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [23:00:00 01/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/06/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: 1663 pv: 80 cv: 80 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: 1663 cv: 720 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: 1663 pv: 80 cv: 475 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: 1663 pv: 80 cv: 475 ap: none
t0: [00:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [00:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd
t0: [23:00:00 02/06/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: 1663 pv: -80 cv: -80 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: 1663 cv: 423 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: 1663 cv: 1253 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: 1663 cv: 110 ap: none t0: [23:00:00 02/06/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: 1663 pv: -80 cv: 778 ap: none t0: [23:00:00 02/06/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: 1663 pv: -80 cv: 15113.1 ap: carryForward
t0: [00:00:00 02/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 13.5593 u1: ml/cmH st: NotStopd t0: [00:00:00 02/06/2010] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [00:00:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:4 st: NotStopd t0: [00:00:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 3 st: NotStopd t0: [00:00:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 12.2 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 3.6 u1: L/min st: NotStopd t0: [00:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [00:00:00 02/06/2010] id: Peak Flow el: 0 cu: MICU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 02/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 34.5 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 21.8 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 0 u1: . st: NotStopd t0: [00:00:00 02/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 02/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 02/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 02/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [00:00:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 02/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd
t0: [01:00:00 02/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 117.9 rs: Final st: NotStopd
t0: [23:00:00 01/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 01/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [23:00:00 01/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [23:00:00 01/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [23:00:00 01/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [23:00:00 01/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 01/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 01/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [23:00:00 01/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [23:00:00 01/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [23:00:00 01/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [23:00:00 01/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 01/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [01:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [01:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [01:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [02:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [02:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [02:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [02:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [02:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 16 vu: ml t0: [02:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml
t0: [01:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 02/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: CRT v1: 3 v2: 22 st: NotStopd t0: [04:00:00 02/06/2010] id: Art.pH ABG el: 0 cu: MICU cg: CRT v1: . rs: Manual st: NotStopd t0: [04:00:00 02/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: CRT v1: 14.8148 u1: ml/cmH st: NotStopd t0: [04:00:00 02/06/2010] id: Cuff Leak el: 0 cu: MICU cg: CRT v1: No st: NotStopd t0: [04:00:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: CRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: CRT v1: 60 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: I:E Ratio el: 0 cu: MICU cg: CRT v1: 1:2.0 st: NotStopd t0: [04:00:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: CRT v1: 6.0 mm st: NotStopd t0: [04:00:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: CRT v1: Tracheostomy st: NotStopd t0: [04:00:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: CRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: CRT v1: 3 v2: 8 st: NotStopd t0: [04:00:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: CRT v1: 3 st: NotStopd t0: [04:00:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: CRT v1: 13.4 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: CRT v1: 5.5 u1: L/min st: NotStopd t0: [04:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: CRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: CRT v1: 20 st: NotStopd t0: [04:00:00 02/06/2010] id: Peak Flow el: 0 cu: MICU cg: CRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 02/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: CRT v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: CRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: CRT v1: 0 u1: . st: NotStopd t0: [04:00:00 02/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: CRT v1: 5 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: CRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: CRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: CRT v1: 91 u1: % st: NotStopd t0: [04:00:00 02/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 02/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: CRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: CRT v1: Yes v2: No st: NotStopd t0: [04:00:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: CRT v1: #6 st: NotStopd t0: [04:00:00 02/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: CRT v1: Inflated st: NotStopd t0: [04:00:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: CRT v1: Shiley st: NotStopd t0: [04:00:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: CRT v1: 15 u1: # st: NotStopd t0: [04:00:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: CRT v1: 7200A st: NotStopd t0: [04:00:00 02/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: CRT v1: RAMP st: NotStopd t0: [04:00:00 02/06/2010] id: Arterial pH ABG el: 0 cu: MICU cg: CRT v1: . rs: Manual st: NotStopd
t0: [00:00:00 02/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [03:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [03:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 02/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 02/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 02/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 02/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 02/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 02/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 02/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [04:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 02/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Sleeping st: NotStopd t0: [04:00:00 02/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 02/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 02/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 02/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [04:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 02/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 02/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 15 vu: ml t0: [04:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [03:00:00 02/06/2010] tf: [12:54:00 04/06/2010] dt: 3474 id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped t0: [03:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 02/06/2010] id: RSBI (<100) el: 0 cu: MICU cg: CRT v1: 200 u1: units st: NotStopd t0: [05:00:00 02/06/2010] id: RSBI (<200) el: 0 cu: MICU cg: CRT v1: 200 u1: units st: NotStopd t0: [05:00:00 02/06/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 02/06/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: CRT v1: 0.2 u1: L st: NotStopd
t0: [05:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 02/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [05:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 02/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [05:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [05:00:00 02/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 02/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [05:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/06/2010] id: trach care el: 0 cu: MICU cg: -1 v1: done t0: [06:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [06:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [06:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [06:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [06:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml t0: [06:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [05:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 02/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 31.3 u1: % rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 318 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.34 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 12.1 rs: Final st: NotStopd
t0: [05:00:00 02/06/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 113 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:00:00 02/06/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [07:05:00 02/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 22 st: NotStopd t0: [07:05:00 02/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 11.7647 u1: ml/cmH st: NotStopd t0: [07:05:00 02/06/2010] id: Cuff Leak el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [07:05:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:05:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 60 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:05:00 02/06/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 2.1 st: NotStopd t0: [07:05:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [07:05:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [07:05:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:05:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:05:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [07:05:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:05:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 5.3 u1: L/min st: NotStopd t0: [07:05:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:05:00 02/06/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [07:05:00 02/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 39 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:05:00 02/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [07:05:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [07:05:00 02/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [07:05:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:05:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:05:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [07:05:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [07:05:00 02/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 410 u1: ml/B st: NotStopd t0: [07:05:00 02/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [07:05:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: -1 v1: Yes v2: No st: NotStopd t0: [07:05:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: -1 v1: #6 st: NotStopd t0: [07:05:00 02/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: -1 v1: Inflated st: NotStopd t0: [07:05:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: -1 v1: Shiley st: NotStopd t0: [07:05:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [07:05:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:05:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [07:05:00 02/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [07:57:00 02/06/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [07:57:00 02/06/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 4 rs: Final st: NotStopd t0: [07:57:00 02/06/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 31 rs: Final st: NotStopd t0: [07:57:00 02/06/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [07:57:00 02/06/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [07:57:00 02/06/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [08:00:00 02/06/2010] id: Imp Skin Cleanse #4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: Imp Skin Cleanse #5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Character #4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Character #5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Drain/Amt#4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Drain/Amt#5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Treatment #4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Treatment #5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Wound Base#4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Wound Base#5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Wth/Lth #4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: ImpSkin Wth/Lth #5 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: Impaired Skin Site#4 el: 0 cu: MICU cg: -1 st: D/C'd t0: [08:00:00 02/06/2010] id: Impaired Skin Site#5 el: 0 cu: MICU cg: -1 st: D/C'd
t0: [07:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [07:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 132 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [07:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [07:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [08:00:00 02/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 02/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 02/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 02/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 02/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 02/06/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 02/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 02/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 02/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [08:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 02/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 02/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 02/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 02/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 02/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 02/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 02/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 02/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 02/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 02/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 02/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 02/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 02/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 02/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 02/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 02/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [08:00:00 02/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 02/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [08:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 02/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 02/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 02/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/06/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 02/06/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [08:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml t0: [08:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 60 vu: ml
t0: [07:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:06:00 02/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 81.7 rs: Final st: NotStopd
t0: [09:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [09:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [09:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [09:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [09:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [09:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [09:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [10:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 84 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [10:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [10:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [10:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:00:00 04/06/2010] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Warfarin f1: TAB v1: 5 u1: mg
t0: [11:00:00 02/06/2010] id: Compliance (40-60ml) el: 0 cu: MICU cg: -1 v1: 11.4286 u1: ml/cmH st: NotStopd t0: [11:00:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: I:E Ratio el: 0 cu: MICU cg: -1 v1: 3.3 st: NotStopd t0: [11:00:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [11:00:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [11:00:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:00:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 4 st: NotStopd t0: [11:00:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [11:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:00:00 02/06/2010] id: Peak Flow el: 0 cu: MICU cg: -1 v1: 50 u1: L/m st: NotStopd t0: [11:00:00 02/06/2010] id: Peak Insp. Pressure el: 0 cu: MICU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: Plateau Pressure el: 0 cu: MICU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 02/06/2010] id: Resp Rate (Spont) el: 0 cu: MICU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: Respiratory Rate Set el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 02/06/2010] id: Tidal Volume (Obser) el: 0 cu: MICU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [11:00:00 02/06/2010] id: Tidal Volume (Set) el: 0 cu: MICU cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: Assist Control st: NotStopd t0: [11:00:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:00:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd t0: [11:00:00 02/06/2010] id: Waveform-Vent el: 0 cu: MICU cg: -1 v1: RAMP st: NotStopd
t0: [10:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [10:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [10:00:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [10:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 02/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [11:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [11:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [11:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 02/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 02/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 02/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 02/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 02/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 02/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 02/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 02/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [12:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 02/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 02/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 02/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 02/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [12:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [12:00:00 02/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 02/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 02/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 02/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 02/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 02/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 02/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 02/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 02/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 02/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 02/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [12:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 02/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 157 rs: Manual st: NotStopd t0: [12:00:00 02/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 02/06/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [12:00:00 02/06/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [11:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [11:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml t0: [12:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 02/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml st: Stopped t0: [12:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [11:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [13:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 30 vu: ml
t0: [14:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [14:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [14:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [14:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [14:00:00 02/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 420 u1: ml/B st: NotStopd
t0: [14:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [14:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [14:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [14:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [14:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [14:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [15:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [15:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [15:57:00 02/06/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [15:57:00 02/06/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 6 rs: Final st: NotStopd t0: [15:57:00 02/06/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [15:57:00 02/06/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 02/06/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 02/06/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.44 rs: Final st: NotStopd
t0: [14:00:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 02/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [16:00:00 02/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:00:00 02/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [16:00:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.8 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [16:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [16:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [16:00:00 02/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [16:00:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:00:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [16:00:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [16:20:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:20:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [16:20:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:20:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [16:20:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:20:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:20:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thin st: NotStopd t0: [16:20:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:20:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:20:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [16:20:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [10:00:00 02/06/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 02/06/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 02/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [14:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/06/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Visited st: NotStopd t0: [14:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [14:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 02/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 02/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [16:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 02/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 02/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 02/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 02/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 02/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 02/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 02/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 02/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [16:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [16:00:00 02/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 02/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 02/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 02/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 02/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [16:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [16:00:00 02/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 02/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 02/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 02/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 02/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 02/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [16:00:00 02/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 02/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 02/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 02/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 02/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 02/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 02/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [16:00:00 02/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 02/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [16:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 02/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [16:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 02/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 02/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/06/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 02/06/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Very Limited st: NotStopd
t0: [16:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [17:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [17:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [17:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml
t0: [18:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [18:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 114 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [18:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [15:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [16:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [17:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 40 vu: ml t0: [18:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [12:00:00 02/06/2010] id: trach care el: 0 cu: MICU cg: -1 v1: Done t0: [17:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 st: NotStopd t0: [17:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [18:00:00 02/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 02/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 02/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [18:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 02/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd
t0: [18:00:00 02/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 162 rs: Manual st: NotStopd
t0: [19:00:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:00:00 02/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [19:00:00 02/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:00:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [19:00:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [19:00:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [19:00:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [19:00:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [19:00:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [19:00:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.3 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 6.1 u1: L/min st: NotStopd t0: [19:00:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [19:00:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [19:00:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [19:00:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [19:00:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [19:00:00 02/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [19:00:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [19:00:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [19:00:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 02/06/2010] id: GI#1 Tube PlaceCheck el: 0 cu: MICU cg: -1 st: D/C'd t0: [20:00:00 02/06/2010] id: GI#2 Tube Stat/Drain el: 0 cu: MICU cg: -1 st: D/C'd
t0: [19:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [19:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [19:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [19:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [19:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [19:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [20:00:00 02/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 02/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 02/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [20:00:00 02/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 02/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 02/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 02/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 02/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [20:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 02/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 02/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 02/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 02/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 02/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 02/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 02/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [20:00:00 02/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 02/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 02/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 02/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 02/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 02/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 02/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 02/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 02/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 02/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 02/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 02/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 02/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 02/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [20:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 02/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Restraint DC'd st: NotStopd t0: [20:00:00 02/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 02/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 02/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 02/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 02/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 02/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 02/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 02/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [20:00:00 02/06/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 02/06/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: No Impairment st: NotStopd
t0: [19:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml t0: [20:00:00 02/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 02/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 50 vu: ml
t0: [19:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [21:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [21:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [22:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 149 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [22:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [22:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 02/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 02/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 02/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 02/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [23:00:00 02/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 02/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 02/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 02/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [23:00:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 02/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 02/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [19:00:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [19:00:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [19:00:00 02/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [19:00:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [23:48:00 02/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [23:48:00 02/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [23:48:00 02/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:48:00 02/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [23:48:00 02/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:48:00 02/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [23:48:00 02/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [23:48:00 02/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:48:00 02/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [23:48:00 02/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [23:48:00 02/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [23:48:00 02/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.9 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [23:48:00 02/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [23:48:00 02/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [23:48:00 02/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [23:48:00 02/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [23:48:00 02/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [23:48:00 02/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 97 u1: % st: NotStopd t0: [23:48:00 02/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [23:48:00 02/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [23:48:00 02/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [23:48:00 02/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [23:48:00 02/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [23:48:00 02/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [23:48:00 02/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [23:48:00 02/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [23:48:00 02/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [23:48:00 02/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [23:00:00 02/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [23:00:00 02/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [23:00:00 02/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.2 u1: Deg. F st: NotStopd
t0: [21:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 02/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [22:00:00 02/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 02/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [22:00:00 02/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [22:00:00 02/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [22:00:00 02/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [22:00:00 02/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [22:00:00 02/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 02/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 02/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 02/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [23:00:00 02/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 02/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 03/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [00:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 03/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [00:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [00:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 03/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 03/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [00:00:00 03/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 03/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [00:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 90 u1: % st: NotStopd t0: [00:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 40 vu: ml t0: [00:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 200 vu: ml
t0: [00:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/06/2010] dt: 1 id: Total Hourly Output el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 03/06/2010] dt: 1 id: Net Hourly Balance el: 2 cu: MICU cg: -1 cv: 0 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: IV Infusion In Total el: 2 cu: MICU cg: -1 cv: 422 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: 24h Total In el: 2 cu: MICU cg: -1 cv: 2162 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU cg: -1 cv: 180 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU cg: -1 cv: 1560 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: Urine Out Total el: 2 cu: MICU cg: -1 cv: 1248 ap: none t0: [23:00:00 03/06/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU cg: -1 cv: 914 ap: carryForward t0: [23:00:00 03/06/2010] dt: 24 id: 24h Total Out el: 2 cu: MICU cg: -1 cv: 1248 ap: carryForward t0: [23:00:00 03/06/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU cg: -1 cv: 16027.1 ap: carryForward
t0: [01:00:00 03/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 166 rs: Manual st: NotStopd
t0: [01:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [01:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [01:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [01:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [01:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Distraction st: NotStopd t0: [02:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [02:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [02:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [02:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [02:00:00 03/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [02:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 03/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [02:00:00 03/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [02:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 100 vu: ml
t0: [01:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:22:00 03/06/2010] id: Art.pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:22:00 03/06/2010] id: Arterial Base Excess ABG el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:22:00 03/06/2010] id: Arterial CO2(Calc) ABG el: 0 cu: MICU cg: 1663 v1: 34 rs: Final st: NotStopd t0: [04:22:00 03/06/2010] id: Arterial PaCO2 ABG el: 0 cu: MICU cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [04:22:00 03/06/2010] id: Arterial PaO2 ABG el: 0 cu: MICU cg: 1663 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [04:22:00 03/06/2010] id: Arterial pH ABG el: 0 cu: MICU cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [04:00:00 03/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 22 st: NotStopd t0: [04:00:00 03/06/2010] id: RSBI (<100) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 03/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:00:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 03/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 03/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 03/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 03/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [04:00:00 03/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 12.3 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [04:00:00 03/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 03/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 03/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [04:00:00 03/06/2010] id: RSBI (<200) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 03/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 31 u1: BPM st: NotStopd t0: [04:00:00 03/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 03/06/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: RRT v1: 38 u1: BPM st: NotStopd t0: [04:00:00 03/06/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: RRT v1: 0.14 u1: L st: NotStopd t0: [04:00:00 03/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [04:00:00 03/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 03/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [04:00:00 03/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 03/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:00:00 03/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 03/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:00:00 03/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [05:00:00 03/06/2010] id: INV#1Chg o/Wire Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 03/06/2010] id: INV Line#1 Site Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 03/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 03/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 st: D/C'd t0: [05:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 st: D/C'd
t0: [04:00:00 03/06/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 155 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [04:00:00 03/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 29.8 u1: % rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 299 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 11.9 rs: Final st: NotStopd
t0: [04:00:00 03/06/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [04:00:00 03/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 79.5 rs: Final st: NotStopd
t0: [02:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [02:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 22 u1: mmHg st: NotStopd t0: [03:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [03:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 131 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [03:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 25 u1: mmHg st: NotStopd t0: [04:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Agitated st: NotStopd t0: [04:00:00 03/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 03/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [04:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 03/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 03/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 03/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 03/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [04:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#1 Type/Site el: 0 cu: MICU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#1InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 9 st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 03/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [04:00:00 03/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 03/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/06/2010] id: ImpSkin Character #3 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/06/2010] id: ImpSkin Wound Base#3 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 03/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 03/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 03/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 03/06/2010] id: Arterial BP el: 0 cu: MICU cg: -1 v1: 141 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [04:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [04:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 03/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate st: NotStopd t0: [04:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 03/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 03/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 03/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 03/06/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [04:00:00 03/06/2010] id: trach care el: 0 cu: MICU cg: -1 v1: done t0: [05:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [05:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 116 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [05:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 92 u1: % st: NotStopd t0: [05:00:00 03/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Plug st: NotStopd t0: [05:00:00 03/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 100 vu: ml t0: [04:00:00 03/06/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Medium
t0: [03:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Right Arm st: NotStopd t0: [04:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Restraint DC'd st: NotStopd t0: [05:00:00 03/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 03/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [05:00:00 03/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [06:00:00 03/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [06:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [06:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [06:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [06:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 62.3333 u1: mmHg st: NotStopd t0: [06:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [06:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [06:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [06:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Right Arm st: NotStopd t0: [06:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [06:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [06:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 100 vu: ml
t0: [06:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [07:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [07:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [07:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [07:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [07:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 93 u1: % st: NotStopd t0: [07:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:05:00 03/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [07:05:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:05:00 03/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:05:00 03/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:05:00 03/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [07:05:00 03/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [07:05:00 03/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:05:00 03/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:05:00 03/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [07:05:00 03/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [07:05:00 03/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:05:00 03/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:05:00 03/06/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 20 u1: . st: NotStopd t0: [07:05:00 03/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [07:05:00 03/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [07:05:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:05:00 03/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [07:05:00 03/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:05:00 03/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 250 u1: ml/B st: NotStopd t0: [07:05:00 03/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:05:00 03/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:05:00 03/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 03/06/2010] id: Less Restrict Meas. el: 0 cu: MICU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 03/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [08:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [08:00:00 03/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [08:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 03/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 03/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 03/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 03/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 03/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 03/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 03/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 117 u1: BPM st: NotStopd t0: [08:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 03/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 03/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 03/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [08:00:00 03/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 03/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 03/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 03/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [08:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [08:00:00 03/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 03/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 03/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 03/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [08:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 87.6667 u1: mmHg st: NotStopd t0: [08:00:00 03/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [08:00:00 03/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 03/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 03/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [08:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Right Arm st: NotStopd t0: [08:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 03/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [08:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [08:00:00 03/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [08:00:00 03/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 03/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [08:00:00 03/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [08:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [08:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 120 vu: ml
t0: [09:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [09:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [09:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [09:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 82.3333 u1: mmHg st: NotStopd t0: [09:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [09:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [09:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [10:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [10:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [10:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [10:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [10:00:00 03/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 03/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [10:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/06/2010] id: trach care el: 0 cu: MICU cg: -1 v1: DONE
t0: [07:00:00 03/06/2010] tf: [12:54:00 04/06/2010] dt: 1794 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [08:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [09:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [10:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [10:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 120 vu: ml
t0: [11:29:00 03/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 st: NotStopd t0: [11:29:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:29:00 03/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:29:00 03/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:29:00 03/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [11:29:00 03/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [11:29:00 03/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:29:00 03/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:29:00 03/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [11:29:00 03/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13.6 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.4 u1: L/min st: NotStopd t0: [11:29:00 03/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:29:00 03/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:29:00 03/06/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 20 u1: . st: NotStopd t0: [11:29:00 03/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:29:00 03/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:29:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:29:00 03/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 230 u1: ml/B st: NotStopd t0: [11:29:00 03/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: -1 v1: Yes v2: No st: NotStopd t0: [11:29:00 03/06/2010] id: Trach Size el: 0 cu: MICU cg: -1 v1: #6 st: NotStopd t0: [11:29:00 03/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: -1 v1: Shiley st: NotStopd t0: [11:29:00 03/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:29:00 03/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:29:00 03/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [11:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [11:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 126 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 85.3333 u1: mmHg st: NotStopd t0: [11:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [11:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 03/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: White v2: Thick st: NotStopd t0: [11:00:00 03/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 03/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [12:00:00 03/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [12:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [12:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 03/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: No st: NotStopd t0: [12:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Rare st: NotStopd t0: [12:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 127 u1: BPM st: NotStopd t0: [12:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 03/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 03/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [12:00:00 03/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 94.3333 u1: mmHg st: NotStopd t0: [12:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [12:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [12:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml t0: [12:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 120 vu: ml
t0: [07:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/06/2010] id: GI Prophylaxis el: 0 cu: MICU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 03/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 03/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 03/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 03/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 03/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 03/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 03/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 03/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 03/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 03/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 03/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 03/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 03/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 03/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 03/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [12:00:00 03/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 03/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 03/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 03/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 03/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 03/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 246 rs: Manual st: NotStopd t0: [13:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [13:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [13:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [13:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [13:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 135 u1: mmHg v2: 99 u2: mmHg st: NotStopd t0: [13:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 111 u1: mmHg st: NotStopd t0: [13:00:00 03/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [13:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Supine st: NotStopd t0: [13:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [13:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [13:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/06/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Small t0: [13:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml
t0: [13:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [14:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [14:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [14:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [14:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [14:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [14:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [14:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [13:00:00 04/06/2010] pt: Unit Dose rt: PO fr: ONCE fs: 14 dn: 1 m1: Fluconazole f1: TAB v1: 200 u1: mg
t0: [15:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [15:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [15:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [15:00:00 03/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 03/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [15:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [15:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [15:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [15:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [15:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [15:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 03/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 97 rs: Final st: NotStopd
t0: [15:46:00 03/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [15:46:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:46:00 03/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [15:46:00 03/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [15:46:00 03/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [15:46:00 03/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [15:46:00 03/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [15:46:00 03/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [15:46:00 03/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [15:46:00 03/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [15:46:00 03/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 9.4 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 3.5 u1: L/min st: NotStopd t0: [15:46:00 03/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [15:46:00 03/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [15:46:00 03/06/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 20 u1: . st: NotStopd t0: [15:46:00 03/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [15:46:00 03/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [15:46:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:46:00 03/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 340 u1: ml/B st: NotStopd t0: [15:46:00 03/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: -1 v1: Yes v2: No st: NotStopd t0: [15:46:00 03/06/2010] id: Trach Size el: 0 cu: MICU cg: -1 v1: #6 st: NotStopd t0: [15:46:00 03/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: -1 v1: Shiley st: NotStopd t0: [15:46:00 03/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:46:00 03/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [15:46:00 03/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [15:00:00 03/06/2010] id: Trach Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Level el: 0 cu: MICU cg: -1 v1: Unable to score st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 03/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [16:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [16:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 03/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 03/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 03/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 03/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 03/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 03/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [16:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 03/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 03/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 03/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 03/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 03/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 119 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 03/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: Unable to score st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: IV Push st: NotStopd t0: [16:00:00 03/06/2010] id: Pain Type el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 03/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [16:00:00 03/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 03/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 03/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:00:00 03/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [16:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 03/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 03/06/2010] id: Stool Color/Consist el: 0 cu: MICU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [16:00:00 03/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 03/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 03/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [17:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [17:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [17:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [17:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 159 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [17:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 110.333 u1: mmHg st: NotStopd t0: [17:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [17:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 03/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 03/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [17:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [18:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [18:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [18:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 165 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [18:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 102.333 u1: mmHg st: NotStopd t0: [18:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [18:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/06/2010] id: Stool Out Stool el: 1 cu: MICU cg: -1 vu: ml es: Small t0: [16:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [16:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml t0: [17:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [17:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml t0: [18:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [18:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [16:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/06/2010] dt: 24 id: Stool Out Total el: 2 cu: MICU cg: -1 cv: 0 ap: carryForward
t0: [18:00:00 03/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 209 rs: Manual st: NotStopd
t0: [19:00:00 03/06/2010] id: INV Line#1 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 03/06/2010] id: INV Line#1 Zero/Cal el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 03/06/2010] id: INV Line#1SiteAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 03/06/2010] id: INV#1 WaveformAppear el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 03/06/2010] id: IV #2 D/C Date el: 0 cu: MICU cg: -1 st: D/C'd t0: [19:00:00 03/06/2010] id: Arterial BP Mean el: 0 cu: MICU cg: -1 st: D/C'd
t0: [20:00:00 03/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 03/06/2010] id: Flow-By (lpm) el: 0 cu: MICU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 03/06/2010] id: Flow-by Sensitivity el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 03/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [20:00:00 03/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 03/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 03/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [20:00:00 03/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [20:00:00 03/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 03/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.8 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [20:00:00 03/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 03/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 03/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [20:00:00 03/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 03/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 03/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 310 u1: ml/B st: NotStopd t0: [20:00:00 03/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 03/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [20:00:00 03/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 03/06/2010] id: Pain Level el: 0 cu: MICU cg: -1 v1: Unable to score st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Present el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 03/06/2010] id: Range of Motion el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Assess Method el: 0 cu: MICU cg: -1 v1: Non-verbal cues st: NotStopd t0: [20:00:00 03/06/2010] id: PainLevel Acceptable el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [20:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [20:00:00 03/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 03/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 03/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 03/06/2010] id: Daily Wake Up el: 0 cu: MICU cg: -1 v1: Not Applicable st: NotStopd t0: [20:00:00 03/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [20:00:00 03/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/06/2010] id: Family Communication el: 0 cu: MICU cg: -1 v1: Family Called st: NotStopd t0: [20:00:00 03/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 03/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 03/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 03/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [20:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [20:00:00 03/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 03/06/2010] id: INV Line#3 Zero/Cal el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 03/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [20:00:00 03/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 03/06/2010] id: INV#3 WaveformAppear el: 0 cu: MICU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 03/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 03/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 03/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 03/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [20:00:00 03/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 03/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [20:00:00 03/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [20:00:00 03/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 03/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 03/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 03/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 138 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 92.6667 u1: mmHg st: NotStopd t0: [20:00:00 03/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 03/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Cause el: 0 cu: MICU cg: -1 v1: At Rest st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Level (Rest) el: 0 cu: MICU cg: -1 v1: Unable to score st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Location el: 0 cu: MICU cg: -1 v1: Abdominal st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Management el: 1 cu: MICU cg: -1 v1: PO Med v2: Repositioned st: NotStopd t0: [20:00:00 03/06/2010] id: Pain Type el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 03/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 03/06/2010] id: Position Change el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 03/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [20:00:00 03/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 03/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 03/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 03/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 03/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 03/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 03/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 03/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 03/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 03/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 03/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [20:00:00 03/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 03/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [20:00:00 03/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 03/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [20:00:00 03/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 03/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 03/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 03/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 03/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [20:00:00 03/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Activity el: 0 cu: MICU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Frict/Shear el: 0 cu: MICU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Mobility el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Moisture el: 0 cu: MICU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Nutrition el: 0 cu: MICU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 03/06/2010] id: Braden Score el: 0 cu: MICU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 03/06/2010] id: Braden SensoryPercep el: 0 cu: MICU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [20:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml t0: [20:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 140 vu: ml
t0: [20:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [21:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [21:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [21:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [21:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 115 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 78.3333 u1: mmHg st: NotStopd t0: [21:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [21:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [21:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [21:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [21:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [22:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [22:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [22:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [22:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [22:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [22:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [22:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [22:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 03/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 7 vu: ml t0: [22:00:00 03/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [22:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [23:00:00 03/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 03/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 03/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 03/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [23:00:00 03/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [23:00:00 03/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 03/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 150 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 03/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 89.3333 u1: mmHg st: NotStopd t0: [23:00:00 03/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [23:00:00 03/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [23:00:00 03/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:00:00 03/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [00:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [00:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 04/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 04/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [00:00:00 04/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 04/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 04/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 04/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 04/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 04/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [00:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 04/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 04/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [00:00:00 04/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 04/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 04/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 04/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 04/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [00:00:00 04/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [00:00:00 04/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 04/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Insp Wheeze st: NotStopd t0: [00:00:00 04/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 04/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 148 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [00:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [00:00:00 04/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 04/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 04/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 04/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 04/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [00:00:00 04/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 04/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 04/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Insp Wheeze st: NotStopd t0: [00:00:00 04/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 04/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [00:00:00 04/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 04/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 04/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 04/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 04/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 04/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [00:00:00 04/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 04/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 04/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 04/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 04/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 04/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 14 vu: ml t0: [00:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 140 vu: ml
t0: [23:00:00 03/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/06/2010] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 04/06/2010] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 228.5 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 1238.5 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: Tube Feeds In Total el: 2 cu: -1 cg: RN cv: 980 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 830 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: 408.5 ap: none t0: [23:00:00 04/06/2010] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 830 ap: none t0: [23:00:00 04/06/2010] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 16435.6 ap: carryForward
t0: [00:00:00 04/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 04/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 04/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 04/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 04/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 04/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 04/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:00:00 04/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [00:00:00 04/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 04/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 04/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 11.5 u1: cmH2O st: NotStopd t0: [00:00:00 04/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 5 u1: L/min st: NotStopd t0: [00:00:00 04/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 04/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 04/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 04/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [00:00:00 04/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 04/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 04/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: Yellow v2: Plug st: NotStopd t0: [00:00:00 04/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 04/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [00:00:00 04/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 04/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:00:00 04/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [20:00:00 03/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 03/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [00:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd
t0: [00:27:00 04/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [00:00:00 04/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 161 rs: Manual st: NotStopd t0: [01:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [01:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [01:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [01:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [01:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 68.3333 u1: mmHg st: NotStopd t0: [01:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [01:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [01:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 700 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:27:00 04/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:27:00 04/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [00:27:00 04/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:27:00 04/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [00:27:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 95 u1: % st: NotStopd t0: [00:27:00 04/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [00:27:00 04/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [01:09:00 04/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 103 rs: Final st: NotStopd
t0: [02:30:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [02:30:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [02:30:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [02:30:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: Occasional st: NotStopd t0: [02:30:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: PVC's st: NotStopd t0: [02:30:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [02:30:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:30:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [02:30:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [02:30:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [02:30:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [02:30:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:30:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:30:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [03:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [03:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [03:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60.6667 u1: mmHg st: NotStopd t0: [03:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [03:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [03:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 30 vu: ml t0: [03:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 20.5 vu: ml t0: [03:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 210 vu: ml
t0: [03:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [20:00:00 03/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [20:00:00 03/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 03/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [20:00:00 03/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 03/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [00:00:00 04/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [00:00:00 04/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [00:00:00 04/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 04/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [00:00:00 04/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 04/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:00:00 04/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: RRT v1: 3 v2: 21 st: NotStopd t0: [04:00:00 04/06/2010] id: RSBI (<100) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 04/06/2010] id: Cuff Leak el: 0 cu: MICU cg: RRT v1: No st: NotStopd t0: [04:00:00 04/06/2010] id: FiO2 Set el: 0 cu: MICU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 04/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 04/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 04/06/2010] id: Airway Size el: 0 cu: MICU cg: RRT v1: 6.0 mm st: NotStopd t0: [04:00:00 04/06/2010] id: Airway Type el: 0 cu: MICU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 04/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 04/06/2010] id: Intubation Date el: 0 cu: MICU cg: RRT v1: 3 v2: 8 st: NotStopd t0: [04:00:00 04/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: RRT v1: 2 st: NotStopd t0: [04:00:00 04/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 04/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 04/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: RRT v1: 10.1 u1: cmH2O st: NotStopd t0: [04:00:00 04/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [04:00:00 04/06/2010] id: PEEP Set el: 0 cu: MICU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 04/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 04/06/2010] id: Plateau-Off el: 0 cu: MICU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 04/06/2010] id: Pressure Support el: 0 cu: MICU cg: RRT v1: 20 u1: . st: NotStopd t0: [04:00:00 04/06/2010] id: RSBI (<200) el: 0 cu: MICU cg: RRT u1: units st: NotStopd t0: [04:00:00 04/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 04/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: RRT v1: 0.5 u1: cmH2O st: NotStopd t0: [04:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 04/06/2010] id: Sputum Color/Consist el: 0 cu: MICU cg: RRT v1: White v2: Thick st: NotStopd t0: [04:00:00 04/06/2010] id: Sputum Source/Amt el: 0 cu: MICU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 04/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [04:00:00 04/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 04/06/2010] id: Trach Size el: 0 cu: MICU cg: RRT v1: #6 st: NotStopd t0: [04:00:00 04/06/2010] id: Tracheostomy Cuff el: 0 cu: MICU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 04/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: RRT v1: Shiley st: NotStopd t0: [04:00:00 04/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 04/06/2010] id: Ventilator No. el: 0 cu: MICU cg: RRT v1: 15 u1: # st: NotStopd t0: [04:00:00 04/06/2010] id: Ventilator Type el: 0 cu: MICU cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [04:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 04/06/2010] id: Cough Reflex el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 04/06/2010] id: Diet Type el: 0 cu: MICU cg: -1 v1: Tube Feeding st: NotStopd t0: [04:00:00 04/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/06/2010] id: Eye Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/06/2010] id: Eye Opening el: 0 cu: MICU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 04/06/2010] id: Follows Commands el: 0 cu: MICU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 04/06/2010] id: GCS Total el: 0 cu: MICU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 04/06/2010] id: Gag Reflex el: 0 cu: MICU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 04/06/2010] id: HOB el: 0 cu: MICU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [04:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [04:00:00 04/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: -1 v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 04/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: -1 v1: 3 v2: 15 st: NotStopd t0: [04:00:00 04/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 04/06/2010] id: Activity el: 0 cu: MICU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 04/06/2010] id: Activity Tolerance el: 0 cu: MICU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 04/06/2010] id: Imp Skin Cleanse #1 el: 0 cu: MICU cg: -1 v1: Soap & H20 st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Character #1 el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: -1 v1: Rash st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Treatment #1 el: 0 cu: MICU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Wound Base#1 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 04/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: -1 v1: Pink st: NotStopd t0: [04:00:00 04/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 04/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: -1 v1: Perineum st: NotStopd t0: [04:00:00 04/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: -1 v1: Neck st: NotStopd t0: [04:00:00 04/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 04/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 04/06/2010] id: Level of Conscious el: 0 cu: MICU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 04/06/2010] id: Motor Response el: 0 cu: MICU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [04:00:00 04/06/2010] id: Oral Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/06/2010] id: Oral Cavity el: 0 cu: MICU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/06/2010] id: Orientation el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 04/06/2010] id: AntiEmbDevice/Status el: 0 cu: MICU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 04/06/2010] id: Position el: 0 cu: MICU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 04/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 04/06/2010] id: Assistance Device el: 0 cu: MICU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [04:00:00 04/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 04/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 04/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 04/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 04/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 04/06/2010] id: Restraint Location el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/06/2010] id: Restraint Type el: 0 cu: MICU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 04/06/2010] id: Seizure Activity el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/06/2010] id: Side Rails el: 0 cu: MICU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 04/06/2010] id: Skin Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/06/2010] id: Skin Color el: 0 cu: MICU cg: -1 v1: Normal for Race st: NotStopd t0: [04:00:00 04/06/2010] id: Skin Integrity el: 0 cu: MICU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 04/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: -1 v1: Warm v2: Dry st: NotStopd t0: [04:00:00 04/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 04/06/2010] id: Support Systems el: 0 cu: MICU cg: -1 v1: Children st: NotStopd t0: [04:00:00 04/06/2010] id: Temp. Site el: 0 cu: MICU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 04/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 04/06/2010] id: Temperature F el: 0 cu: MICU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 04/06/2010] id: Turn el: 0 cu: MICU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 04/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/06/2010] id: Urine Source el: 0 cu: MICU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/06/2010] id: Verbal Response el: 0 cu: MICU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/06/2010] id: Back Care el: 0 cu: MICU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/06/2010] id: Behavior el: 0 cu: MICU cg: -1 v1: Calm st: NotStopd t0: [04:00:00 04/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: -1 v1: Present st: NotStopd
t0: [04:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [04:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [04:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/06/2010] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: -1 cv: 30 ap: none
t0: [05:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [05:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [05:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [05:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [05:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [05:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 96 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [05:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [05:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [05:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [05:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: -1 v1: MICU st: NotStopd t0: [06:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [06:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: -1 v1: None st: NotStopd t0: [06:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [06:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: -1 v1: Atrial Fib st: NotStopd t0: [06:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: -1 v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: -1 v1: Contact st: NotStopd t0: [06:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [06:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: -1 ai: 189 vo: 6 vu: ml t0: [06:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: -1 ai: 304 vo: 70 vu: ml
t0: [06:00:00 04/06/2010] id: Heparin el: 1 cu: MICU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/06/2010] id: Fingerstick Glucose Chemistry el: 0 cu: MICU cg: -1 v1: 186 rs: Manual st: NotStopd
t0: [06:30:00 04/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Hematocrit Hematology el: 0 cu: MICU cg: 1663 v1: 28.5 u1: % rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Hemoglobin Hematology el: 0 cu: MICU cg: 1663 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Platelets Hematology el: 0 cu: MICU cg: 1663 v1: 252 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: RBC Hematology el: 0 cu: MICU cg: 1663 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: WBC (4-11,000) Hematology el: 0 cu: MICU cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [06:30:00 04/06/2010] id: INR (2-4 ref. range) Coags el: 0 cu: MICU cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: PT(11-13.5) Coags el: 0 cu: MICU cg: 1663 v1: 16.2 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: PTT(22-35) Coags el: 0 cu: MICU cg: 1663 v1: 87.2 rs: Final st: NotStopd
t0: [06:30:00 04/06/2010] id: BUN (6-20) Chemistry el: 0 cu: MICU cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Carbon Dioxide Chemistry el: 0 cu: MICU cg: 1663 v1: 33 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Chloride (100-112) Chemistry el: 0 cu: MICU cg: 1663 v1: 102 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Glucose (70-105) Chemistry el: 0 cu: MICU cg: 1663 v1: 177 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [06:30:00 04/06/2010] id: Sodium (135-148) Chemistry el: 0 cu: MICU cg: 1663 v1: 138 rs: Final st: NotStopd t0: [07:18:00 04/06/2010] id: RSBI (<100) el: 0 cu: MICU cg: -1 v1: 184.615 u1: units st: NotStopd t0: [07:18:00 04/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:18:00 04/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:18:00 04/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:18:00 04/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [07:18:00 04/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [07:18:00 04/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:18:00 04/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [07:18:00 04/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [07:18:00 04/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:18:00 04/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:18:00 04/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [07:18:00 04/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 6.8 u1: L/min st: NotStopd t0: [07:18:00 04/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:18:00 04/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [07:18:00 04/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [07:18:00 04/06/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 20 u1: . st: NotStopd t0: [07:18:00 04/06/2010] id: RSBI (<200) el: 0 cu: MICU cg: -1 v1: 184.615 u1: units st: NotStopd t0: [07:18:00 04/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:18:00 04/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [07:18:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:18:00 04/06/2010] id: Spon RR (Mech.) el: 0 cu: MICU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:18:00 04/06/2010] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU cg: -1 v1: 0.13 u1: L st: NotStopd t0: [07:18:00 04/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 300 u1: ml/B st: NotStopd t0: [07:18:00 04/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:18:00 04/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [07:18:00 04/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [07:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [07:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [07:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 80 u1: BPM st: NotStopd t0: [07:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: RN v1: 102 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [07:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [07:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [07:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/06/2010] id: Range of Motion el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 04/06/2010] id: Circulation/SkinInt el: 0 cu: MICU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/06/2010] id: Riker-SAS Scale el: 0 cu: MICU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/06/2010] id: Cough Reflex el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/06/2010] id: Diet Type el: 0 cu: MICU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/06/2010] id: Dorsal PedPulse R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/06/2010] id: Eye Opening el: 0 cu: MICU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/06/2010] id: Follows Commands el: 0 cu: MICU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 04/06/2010] id: GCS Total el: 0 cu: MICU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 04/06/2010] id: Gag Reflex el: 0 cu: MICU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 04/06/2010] id: Abdominal Assessment el: 0 cu: MICU cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/06/2010] id: Impaired Skin Site#1 el: 0 cu: MICU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 04/06/2010] id: Impaired Skin Site#2 el: 0 cu: MICU cg: RN v1: Perineum st: NotStopd t0: [08:00:00 04/06/2010] id: Impaired Skin Site#3 el: 0 cu: MICU cg: RN v1: Neck st: NotStopd t0: [08:00:00 04/06/2010] id: LLL Lung Sounds el: 0 cu: MICU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/06/2010] id: LUL Lung Sounds el: 0 cu: MICU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/06/2010] id: Level of Conscious el: 0 cu: MICU cg: RN v1: Alert st: NotStopd t0: [08:00:00 04/06/2010] id: Motor Response el: 0 cu: MICU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/06/2010] id: NBP el: 0 cu: MICU cg: RN v1: 95 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:00:00 04/06/2010] id: NBP Mean el: 0 cu: MICU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [08:00:00 04/06/2010] id: Oral Cavity el: 0 cu: MICU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/06/2010] id: Orientation el: 0 cu: MICU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/06/2010] id: Position Change el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/06/2010] id: PostTib. Pulses R/L el: 0 cu: MICU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [08:00:00 04/06/2010] id: Pupil Response R/L el: 0 cu: MICU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/06/2010] id: Pupil Size R/L el: 0 cu: MICU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/06/2010] id: RLL Lung Sounds el: 0 cu: MICU cg: RN v1: Exp Wheeze st: NotStopd t0: [08:00:00 04/06/2010] id: RUL Lung Sounds el: 0 cu: MICU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/06/2010] id: Reason For Restraint el: 0 cu: MICU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/06/2010] id: Removed x 5 Mins el: 0 cu: MICU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/06/2010] id: Respiratory Pattern el: 0 cu: MICU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 04/06/2010] id: Restraint Location el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/06/2010] id: Restraint Type el: 0 cu: MICU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/06/2010] id: Restraints Evaluated el: 0 cu: MICU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/06/2010] id: Seizure Activity el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [08:00:00 04/06/2010] id: Side Rails el: 0 cu: MICU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/06/2010] id: Skin Color el: 0 cu: MICU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 04/06/2010] id: Skin Integrity el: 0 cu: MICU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 04/06/2010] id: Skin Temp/Condition el: 0 cu: MICU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 04/06/2010] id: Spontaneous Movement el: 0 cu: MICU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 04/06/2010] id: Support Systems el: 0 cu: MICU cg: RN v1: Children st: NotStopd t0: [08:00:00 04/06/2010] id: Temp. Site el: 0 cu: MICU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/06/2010] id: Temperature C (calc) el: 0 cu: MICU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 04/06/2010] id: Temperature F el: 0 cu: MICU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 04/06/2010] id: Urine Color/Appear el: 0 cu: MICU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/06/2010] id: Urine Source el: 0 cu: MICU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/06/2010] id: Verbal Response el: 0 cu: MICU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/06/2010] id: Behavior el: 0 cu: MICU cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/06/2010] id: Bowel Sounds el: 0 cu: MICU cg: RN v1: Present st: NotStopd
t0: [08:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 12 vu: ml t0: [08:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 140 vu: ml
t0: [07:00:00 04/06/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/06/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/06/2010] id: INV Line#3 Type/Site el: 0 cu: MICU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 04/06/2010] id: INV Line#3InsertDate el: 0 cu: MICU cg: RN v1: 3 v2: 15 st: NotStopd t0: [08:00:00 04/06/2010] id: INV Line#3SiteAppear el: 0 cu: MICU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/06/2010] id: ImpSkin Character #2 el: 0 cu: MICU cg: RN v1: Rash st: NotStopd t0: [08:00:00 04/06/2010] id: ImpSkin Wound Base#2 el: 0 cu: MICU cg: RN v1: Pink st: NotStopd
t0: [11:05:00 04/06/2010] id: Trach Insert Date el: 0 cu: MICU cg: -1 v1: 3 v2: 21 st: NotStopd t0: [11:05:00 04/06/2010] id: FiO2 Set el: 0 cu: MICU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:05:00 04/06/2010] id: High Insp. Pressure el: 0 cu: MICU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:05:00 04/06/2010] id: High Resp. Rate el: 0 cu: MICU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [11:05:00 04/06/2010] id: Airway Size el: 0 cu: MICU cg: -1 v1: 6.0 mm st: NotStopd t0: [11:05:00 04/06/2010] id: Airway Type el: 0 cu: MICU cg: -1 v1: Tracheostomy st: NotStopd t0: [11:05:00 04/06/2010] id: Inspired Gas Temp el: 0 cu: MICU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:05:00 04/06/2010] id: Intubation Date el: 0 cu: MICU cg: -1 v1: 3 v2: 8 st: NotStopd t0: [11:05:00 04/06/2010] id: Low Exhaled Min Vol el: 0 cu: MICU cg: -1 v1: 2 st: NotStopd t0: [11:05:00 04/06/2010] id: Low Insp. Pressure el: 0 cu: MICU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:05:00 04/06/2010] id: MDI #1 (Puff/Drug) el: 0 cu: MICU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:05:00 04/06/2010] id: Mean Airway Pressure el: 0 cu: MICU cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [11:05:00 04/06/2010] id: Minute Volume(Obser) el: 0 cu: MICU cg: -1 v1: 7.3 u1: L/min st: NotStopd t0: [11:05:00 04/06/2010] id: PEEP Set el: 0 cu: MICU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:05:00 04/06/2010] id: Apnea Time Interval el: 0 cu: MICU cg: -1 v1: 20 st: NotStopd t0: [11:05:00 04/06/2010] id: Plateau-Off el: 0 cu: MICU cg: -1 v1: Yes st: NotStopd t0: [11:05:00 04/06/2010] id: Pressure Support el: 0 cu: MICU cg: -1 v1: 20 u1: . st: NotStopd t0: [11:05:00 04/06/2010] id: Resp Rate (Total) el: 0 cu: MICU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [11:05:00 04/06/2010] id: Sensitivity-Vent el: 0 cu: MICU cg: -1 v1: 1 u1: cmH2O st: NotStopd t0: [11:05:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:05:00 04/06/2010] id: Tidal Volume (Spont) el: 0 cu: MICU cg: -1 v1: 290 u1: ml/B st: NotStopd t0: [11:05:00 04/06/2010] id: Trach Cuff/Fenestra el: 0 cu: MICU cg: -1 v1: Yes v2: No st: NotStopd t0: [11:05:00 04/06/2010] id: Trach Size el: 0 cu: MICU cg: -1 v1: #6 st: NotStopd t0: [11:05:00 04/06/2010] id: Tracheostomy Type el: 0 cu: MICU cg: -1 v1: Shiley st: NotStopd t0: [11:05:00 04/06/2010] id: Ventilator Mode el: 0 cu: MICU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:05:00 04/06/2010] id: Ventilator No. el: 0 cu: MICU cg: -1 v1: 15 u1: # st: NotStopd t0: [11:05:00 04/06/2010] id: Ventilator Type el: 0 cu: MICU cg: -1 v1: 7200A st: NotStopd
t0: [09:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [09:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [09:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [09:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [09:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [11:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [11:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [11:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 31 u1: BPM st: NotStopd t0: [11:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/06/2010] id: Service Type el: 0 cu: MICU cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/06/2010] id: CVP el: 0 cu: MICU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [12:00:00 04/06/2010] id: Code Status el: 0 cu: MICU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/06/2010] id: Ectopy Frequency el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/06/2010] id: Ectopy Type el: 0 cu: MICU cg: RN v1: None st: NotStopd t0: [12:00:00 04/06/2010] id: Heart Rate el: 0 cu: MICU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 04/06/2010] id: Heart Rhythm el: 0 cu: MICU cg: RN v1: Atrial Fib st: NotStopd t0: [12:00:00 04/06/2010] id: Precautions el: 0 cu: MICU cg: RN v1: Contact st: NotStopd t0: [12:00:00 04/06/2010] id: Respiratory Rate el: 0 cu: MICU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 04/06/2010] id: SpO2 el: 0 cu: MICU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/06/2010] id: calprevflg el: 0 cu: MICU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 30 vu: ml t0: [11:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 18 vu: ml t0: [11:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 210 vu: ml t0: [12:00:00 04/06/2010] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 04/06/2010] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: MICU cg: RN ai: 189 vo: 6 vu: ml t0: [12:00:00 04/06/2010] id: Ultracal Tube Feeding el: 1 cu: MICU cg: RN ai: 304 vo: 70 vu: ml
t0: [09:00:00 04/06/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/06/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/06/2010] id: Heparin el: 1 cu: MICU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip