This log is also available as text (s05786.txt) and as a (binary) annotation file (s05786.log).
Generated: Monday, 07-Jun-2010 13:20:21 EDT
(All dates below are surrogates.)
t0: [05:40:59 27/10/2012] tf: [08:15:59 02/11/2012] id: a40207n [view]
t0: [11:22:37 27/10/2012] tf: [08:16:33 02/11/2012] id: a40207 [view]
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 2851 ds: 6 ld: AC POSTHEMORRHAG ANEMIA dd: 45620 ds: 2 ld: BLEED ESOPH VAR OTH DIS dd: 45620 ds: 3 ld: BLEED ESOPH VAR OTH DIS dd: 5180 ds: 7 ld: PULMONARY COLLAPSE dd: 51881 ds: 5 ld: RESPIRATORY FAILURE dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS dd: 5780 ds: 3 ld: HEMATEMESIS dd: 78559 ds: 4 ld: SHOCK W/O TRAUMA NEC dd: 7895 ds: 8 ld: ASCITES dd: 99662 ds: 9 ld: INFECT DUE TO VASCULAR G
tf: [14:50:00 05/11/2012] dt: 11128 cu: MICU-A de: FA6A
id: D5W el: 1 cu: MICU-A cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: MICU-A cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [21:45:00 28/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25.9259 u1: ml/cmH st: NotStopd t0: [21:45:00 28/10/2012] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [21:45:00 28/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [21:45:00 28/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:45:00 28/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [21:45:00 28/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [21:45:00 28/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:45:00 28/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [21:45:00 28/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [21:45:00 28/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [21:45:00 28/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [21:45:00 28/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:45:00 28/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [21:45:00 28/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [21:45:00 28/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:45:00 28/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:45:00 28/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [21:45:00 28/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 719 u1: ml/B st: NotStopd t0: [21:45:00 28/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [21:45:00 28/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:45:00 28/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:45:00 28/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
id: Propofol el: 100 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: Propofol el: 101 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip id: Propofol el: 101 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip id: Sandostatin el: 100 cu: MICU-A cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions am: 600 du: mcghr rt: IV Drip
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 10 ru: ml/hr
tf: [21:00:00 29/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [16:00:00 30/10/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: D5W v1: 100 u1: ml m2: Octreotide Acetate v2: 600 u2: mcg tf: [07:00:00 02/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 22, 10 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [09:00:00 02/11/2012] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [13:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 22, 10 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 100.0ml + 600mcghr Sandostatin IV Infusions vo: 100 du: ml rt: Intravenous Push id: N/A el: 1 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 100 du: vl rt: Intravenous Push id: N/A el: 1 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions vo: 100 du: vl rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Packed RBC's el: 1 cu: MICU-A cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push id: Pre-Admission Intake el: 1 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push id: Fresh Frozen Plasma el: 1 cu: MICU-A cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push id: Platelets el: 1 cu: MICU-A cg: RN io: Platelets IV Infusions du: ml rt: Intravenous Push
t0: [21:45:00 28/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [21:45:00 28/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [21:55:00 28/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [21:30:00 28/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:30:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:30:00 28/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:30:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 28/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:30:00 28/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:30:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:30:00 28/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 28/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [22:00:00 28/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 28/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 28/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [22:00:00 28/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 28/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 28/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 28/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [22:00:00 28/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35 u1: Deg. C st: NotStopd t0: [22:00:00 28/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95 u1: Deg. F st: NotStopd t0: [22:00:00 28/10/2012] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd
t0: [22:00:00 28/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 28/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 28/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [22:00:00 28/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 28/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 28/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [22:00:00 28/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 28/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 28/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [22:00:00 28/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [22:00:00 28/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 28/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 28/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 28/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:30:00 28/10/2012] id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Clergy Visited st: NotStopd
t0: [22:36:00 28/10/2012] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 105 u1: kg t0: [22:36:00 28/10/2012] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:36:00 28/10/2012] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: GI BLEED t0: [22:36:00 28/10/2012] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:36:00 28/10/2012] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:36:00 28/10/2012] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:36:00 28/10/2012] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [22:00:00 28/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [22:00:00 28/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [23:00:00 28/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 28/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 28/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 28/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 28/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 28/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [23:00:00 28/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 28/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/10/2012] tf: [19:00:00 30/10/2012] dt: 2760 id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.3 vu: ml t0: [21:00:00 28/10/2012] tf: [14:50:00 05/11/2012] dt: 11150 id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: MICU-A cg: RN ai: 154 vo: 9800 vu: ml t0: [21:00:00 28/10/2012] tf: [14:50:00 05/11/2012] dt: 11150 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml t0: [23:00:00 28/10/2012] tf: [14:50:00 05/11/2012] dt: 11030 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.3 vu: ml t0: [23:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.3 vu: ml t0: [23:00:00 28/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [21:00:00 28/10/2012] tf: [19:00:00 30/10/2012] dt: 2760 id: Sandostatin el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 28/10/2012] tf: [19:45:00 30/10/2012] dt: 2805 id: Propofol el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 28/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 28/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 28/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 28/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 140 cv: 790 ap: none
t0: [22:42:00 28/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [22:42:00 28/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [22:42:00 28/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [22:42:00 28/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 28/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 205 u1: mmHg rs: Final st: NotStopd t0: [22:42:00 28/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [22:00:00 28/10/2012] id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [23:00:00 28/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd
t0: [22:00:00 28/10/2012] tf: [14:50:00 05/11/2012] dt: 11090 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 300 vu: ml
t0: [23:00:00 28/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 28/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.6 rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.6 rs: Final st: NotStopd
t0: [22:00:00 28/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 28/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 28/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 28/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [22:00:00 28/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 28/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [22:00:00 28/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [22:00:00 28/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 28/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [22:00:00 28/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [22:00:00 28/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [22:00:00 28/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [22:00:00 28/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 28/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 28/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [22:00:00 28/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [22:00:00 28/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [22:00:00 28/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [22:00:00 28/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 28/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 28/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [22:00:00 28/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [22:00:00 28/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [22:00:00 28/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 28/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown st: NotStopd t0: [22:00:00 28/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 28/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 28/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:00:00 28/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd
t0: [21:00:00 28/10/2012] tf: [14:50:00 05/11/2012] dt: 11150 id: Pre-Admission Output Pre-Admission Output el: 1 cu: MICU-A cg: RN vo: 4000 vu: ml t0: [22:00:00 28/10/2012] tf: [20:00:00 31/10/2012] dt: 4200 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1200 vu: ml t0: [23:00:00 28/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:30:00 28/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml
t0: [23:00:00 28/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -2.25 cv: -2.25 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 137.75 cv: 1663.8 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 137.75 cv: 11463.8 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -2.25 cv: 6673.8 ap: none t0: [23:00:00 28/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 140 cv: 4790 ap: none t0: [23:00:00 28/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -2.25 cv: 6673.8 ap: none
t0: [23:00:00 28/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 u1: mg/dl rs: Final st: NotStopd t0: [23:00:00 28/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 u1: mg/dl rs: Final st: NotStopd
t0: [22:00:00 28/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 28/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 28/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 28/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 28/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 28/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 28/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 29/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [00:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [00:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [00:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [00:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 29/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Bleeding Gum st: NotStopd t0: [00:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [00:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 29/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [00:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [00:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 29/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [00:00:00 29/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [00:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:12:00 29/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [00:12:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd t0: [00:12:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:12:00 29/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:12:00 29/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [00:12:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:12:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:12:00 29/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:12:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [00:12:00 29/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:12:00 29/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [00:12:00 29/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:12:00 29/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [00:12:00 29/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:12:00 29/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:12:00 29/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:12:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:12:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Bloody v2: Plug st: NotStopd t0: [00:12:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:12:00 29/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 728 u1: ml/B st: NotStopd t0: [00:12:00 29/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [00:12:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:12:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:12:00 29/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 28/10/2012] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd
t0: [22:00:00 28/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Abdominal Xray st: NotStopd t0: [22:20:00 28/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [00:00:00 29/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [00:40:00 29/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Bronchoscopy st: NotStopd
t0: [01:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [01:00:00 29/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [01:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [01:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml
t0: [01:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [01:15:00 29/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [01:30:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [01:30:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd
t0: [01:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [01:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [02:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [02:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [02:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [02:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [02:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [02:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bright Red Blood st: NotStopd t0: [02:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [02:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bright Red Blood st: NotStopd t0: [02:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [02:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [02:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [02:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [02:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [02:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 29/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 29/10/2012] id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [02:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [02:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [02:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.4 u1: % rs: Final st: NotStopd
t0: [02:00:00 29/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mg/dl rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mg/dl rs: Final st: NotStopd
t0: [02:00:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 40.6 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [02:00:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 40.6 rs: Final st: NotStopd
t0: [03:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [03:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [03:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [03:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [03:00:00 29/10/2012] id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [03:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [03:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [03:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 29/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 96.1333 cv: 96.1333 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 276.133 cv: 9285.43 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 276.133 cv: 16487.4 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 180 cv: 1570 ap: none t0: [23:00:00 29/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 96.1333 cv: 13967.4 ap: carryForward t0: [23:00:00 29/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 180 cv: 2520 ap: carryForward t0: [23:00:00 29/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 96.1333 cv: 20641.2 ap: carryForward
t0: [04:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [04:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [04:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 29/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 29/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 29/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 29/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 29/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 29/10/2012] id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [04:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [04:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [04:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [00:41:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [03:59:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [03:59:00 29/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [03:59:00 29/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:59:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [03:59:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [03:59:00 29/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [03:59:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [03:59:00 29/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [03:59:00 29/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [03:59:00 29/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: L/min st: NotStopd t0: [03:59:00 29/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:59:00 29/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [03:59:00 29/10/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [03:59:00 29/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [03:59:00 29/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:59:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [03:59:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd t0: [03:59:00 29/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 613 u1: ml/B st: NotStopd t0: [03:59:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [03:59:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [04:15:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:15:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:15:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [04:15:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:15:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:15:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:15:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:15:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:15:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:15:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:20:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:25:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:25:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:25:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [04:25:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:25:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:25:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:25:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:25:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:25:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:25:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [04:25:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:25:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:15:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:15:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:25:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:25:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [04:30:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml
t0: [04:45:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:45:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:45:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [04:45:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:45:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [04:45:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:45:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:45:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:45:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [04:45:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:45:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [05:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [05:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [05:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:15:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [05:46:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [05:46:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [05:46:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:46:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [05:46:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [05:46:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [06:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [06:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [06:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [06:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [06:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:45:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1000 vu: ml t0: [05:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 29/10/2012] tf: [14:50:00 05/11/2012] dt: 10670 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [05:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml
t0: [04:45:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:45:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
id: Cryoprecipitate el: 1 cu: MICU-A cg: RN io: Cryoprecipitate IV Drips du: ml rt: Intravenous Push
t0: [06:00:00 29/10/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 85.5746 u1: units st: NotStopd t0: [06:00:00 29/10/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 85.5746 u1: units st: NotStopd t0: [06:00:00 29/10/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [06:00:00 29/10/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.409 u1: L st: NotStopd
t0: [05:30:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.3 u1: % rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.7 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.41 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 rs: Final st: NotStopd
t0: [05:30:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 44.3 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 44.3 rs: Final st: NotStopd
t0: [05:30:00 29/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 38 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 74 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 198 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 178 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd
t0: [07:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [07:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [07:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [07:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 39.2222 u1: Deg. C st: NotStopd t0: [07:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102.6 u1: Deg. F st: NotStopd t0: [07:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [07:00:00 29/10/2012] tf: [14:50:00 05/11/2012] dt: 10550 id: Cryoprecipitate IV Drips el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml
t0: [07:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [05:15:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [05:30:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [07:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd
t0: [05:30:00 29/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 67 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 67 rs: Final st: NotStopd
t0: [05:30:00 29/10/2012] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd
t0: [07:40:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [07:40:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [07:40:00 29/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:40:00 29/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [07:40:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:40:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:40:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [07:40:00 29/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [07:40:00 29/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [07:40:00 29/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15 u1: L/min st: NotStopd t0: [07:40:00 29/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:40:00 29/10/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [07:40:00 29/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [07:40:00 29/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:40:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [07:40:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [07:40:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:40:00 29/10/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 483 u1: ml/B st: NotStopd t0: [07:40:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [07:40:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 29/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi v2: Other/Remarks st: NotStopd t0: [08:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [08:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 29/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [08:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [08:00:00 29/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [08:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [08:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [07:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [07:00:00 29/10/2012] tf: [14:50:00 05/11/2012] dt: 10550 id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 318 vu: ml t0: [08:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [08:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [08:00:00 29/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 288 vu: ml t0: [08:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [08:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [07:00:00 29/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Phytonadione v1: 1 u1: mg
t0: [08:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 29/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Hot v2: Dry st: NotStopd t0: [08:00:00 29/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 29/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 29/10/2012] id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 29/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 29/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [09:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [09:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [09:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [09:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 29/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Bright Red Blood v2: Loose st: NotStopd t0: [09:00:00 29/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [09:00:00 29/10/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [09:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 1000 vu: ml
t0: [05:30:00 29/10/2012] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [05:30:00 29/10/2012] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 78.7 rs: Final st: NotStopd
t0: [09:30:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [09:30:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:30:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:30:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [09:30:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:30:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:30:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [10:00:00 29/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [10:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [10:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [10:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [10:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 29/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [10:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [10:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [10:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [10:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [10:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [10:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [10:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [10:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [10:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [10:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [10:00:00 29/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [10:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [10:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [10:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [10:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 29/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [10:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [10:00:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 29/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [10:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [09:30:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:45:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:45:00 29/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [09:45:00 29/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [09:45:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:45:00 29/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:23:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [10:23:00 29/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd
t0: [10:30:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:30:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [10:30:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:30:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [10:30:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [10:30:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:30:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [10:30:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [10:30:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [10:30:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:30:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [10:30:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.16667 vu: ml
t0: [10:30:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:10:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 39.6 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.4 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 39.6 rs: Final st: NotStopd
tf: [10:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: NS v1: 250 u1: ml m2: Magnesium Sulfate v2: 3 u2: gm
t0: [10:10:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29 u1: % rs: Final st: NotStopd
t0: [10:10:00 29/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.4 u1: mg/dl rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.4 u1: mg/dl rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd
t0: [10:10:00 29/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [10:10:00 29/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd
t0: [12:57:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -10 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 217 u1: mmHg rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd
tf: [10:00:00 30/10/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [12:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: D5W v1: 250 u1: ml m2: Calcium Gluconate v2: 4 u2: gm
t0: [12:57:00 29/10/2012] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.7843 u1: ml/dl st: NotStopd t0: [12:57:00 29/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 38 u1: % rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.93 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd t0: [12:57:00 29/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [11:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [11:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 29/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [11:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [11:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [11:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 29/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [11:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves st: NotStopd t0: [11:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [11:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [11:00:00 29/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [11:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [11:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 29/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Bright Red Blood v2: Loose st: NotStopd t0: [11:00:00 29/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [11:00:00 29/10/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 29/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/10/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 29/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [12:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 29/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [12:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [12:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [12:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 29/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [12:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: OR Sent st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Hot v2: Dry st: NotStopd t0: [12:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [11:00:00 29/10/2012] tf: [14:50:00 05/11/2012] dt: 10310 id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [12:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [12:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [11:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [10:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml t0: [12:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 375 vu: ml
t0: [13:51:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 10.9145 u1: ml/dl st: NotStopd t0: [13:51:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 259 u1: mmHg rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34 u1: % rs: Final st: NotStopd t0: [13:51:00 29/10/2012] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [14:13:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.78 u1: /mic l rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 rs: Final st: NotStopd
t0: [14:13:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 46.7 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [14:13:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 46.7 rs: Final st: NotStopd
t0: [15:10:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 37 u1: % rs: Final st: NotStopd
t0: [16:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [16:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [16:00:00 29/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [16:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:05:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [18:05:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:05:00 29/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [18:05:00 29/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:05:00 29/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [18:05:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [18:05:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:05:00 29/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [18:05:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [18:05:00 29/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [18:05:00 29/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [18:05:00 29/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.9 u1: L/min st: NotStopd t0: [18:05:00 29/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:05:00 29/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [18:05:00 29/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [18:05:00 29/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [18:05:00 29/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [18:05:00 29/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [18:05:00 29/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:05:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [18:05:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [18:05:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:05:00 29/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 631 u1: ml/B st: NotStopd t0: [18:05:00 29/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [18:05:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:05:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [18:05:00 29/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 24cm v2: Lip st: NotStopd
t0: [19:17:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [19:17:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [19:17:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [19:17:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [19:17:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 192 u1: mmHg rs: Final st: NotStopd t0: [19:17:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd
t0: [19:17:00 29/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.94 rs: Final st: NotStopd
t0: [19:07:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.9 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.9 rs: Final st: NotStopd
t0: [03:59:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd
t0: [19:07:00 29/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 248 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 248 rs: Final st: NotStopd
t0: [18:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [18:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [18:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [18:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: OR Received st: NotStopd t0: [18:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [18:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [18:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [18:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [19:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd
t0: [18:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [19:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [18:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:07:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.7 u1: % rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 72 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.96 u1: /mic l rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.8 rs: Final st: NotStopd t0: [20:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [15:00:00 30/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: NS v1: 250 u1: ml m2: Calcium Gluconate v2: 4 u2: gm
t0: [18:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [18:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [18:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [18:00:00 29/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [18:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [18:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [18:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [18:00:00 29/10/2012] id: GI#2 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 29/10/2012] id: GI#2 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [18:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [18:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [18:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [18:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [18:00:00 29/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [18:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [18:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 29/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [18:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [18:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 29/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 29/10/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Bright Red Blood v2: Loose st: NotStopd t0: [18:00:00 29/10/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [18:00:00 29/10/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 29/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 29/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 29/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [18:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 1900 vu: ml t0: [18:00:00 29/10/2012] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1496 vu: ml t0: [18:00:00 29/10/2012] id: Fresh Frozen Plasma IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1375 vu: ml t0: [18:00:00 29/10/2012] tf: [14:50:00 05/11/2012] dt: 9890 id: Platelets IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 400 vu: ml t0: [18:00:00 29/10/2012] id: Cryoprecipitate IV Drips el: 1 cu: MICU-A cg: RN ai: 107 vo: 300 vu: ml t0: [18:00:00 29/10/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [18:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [19:07:00 29/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 120 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 120 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [19:07:00 29/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd
t0: [19:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [19:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 29/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [19:00:00 29/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [19:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [19:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [19:00:00 29/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [19:00:00 29/10/2012] id: GI Intub #2/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [19:00:00 29/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [19:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [19:00:00 29/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [19:00:00 29/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [19:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [19:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [19:00:00 29/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [19:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [19:00:00 29/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [19:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [19:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [19:00:00 29/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [19:00:00 29/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [19:00:00 29/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [19:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 29/10/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [19:00:00 29/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [19:00:00 29/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [19:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [19:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 29/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 29/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 29/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [20:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 29/10/2012] id: IV #1 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 29/10/2012] id: IV #2 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 29/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/10/2012] id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 29/10/2012] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 29/10/2012] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 29/10/2012] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Post Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 29/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 29/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 29/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/10/2012] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 29/10/2012] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 29/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 29/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: None/Remarks st: NotStopd t0: [20:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 29/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 29/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 29/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [20:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [20:00:00 29/10/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 29/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 29/10/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 29/10/2012] id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Clergy Visited st: NotStopd t0: [20:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 29/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 29/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 29/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 29/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 29/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [20:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [20:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [20:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml
t0: [19:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [20:15:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [20:15:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:15:00 29/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:15:00 29/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.1 st: NotStopd t0: [20:15:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:15:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:15:00 29/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:15:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [20:15:00 29/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [20:15:00 29/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [20:15:00 29/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:15:00 29/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:15:00 29/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:15:00 29/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:15:00 29/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [20:15:00 29/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:15:00 29/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:15:00 29/10/2012] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.1 st: NotStopd t0: [20:15:00 29/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [20:15:00 29/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [20:15:00 29/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:15:00 29/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:15:00 29/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [20:15:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:15:00 29/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 29/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 29/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 29/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [20:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 29/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:15:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
id: Fentanyl el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: IH fr: Q4H:PRN m1: Albuterol-Ipratropium v1: 1-2 u1: PUFF
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [20:45:00 29/10/2012] id: Platelets IV Infusions el: 1 cu: MICU-A cg: RN ai: 115 vo: 250 vu: ml
t0: [20:00:00 29/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 29/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [21:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [21:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [21:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [21:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [21:30:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [21:30:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml
t0: [21:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
id: Fentanyl el: 101 cu: MICU-A cg: RN io: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake am: 2500 du: mcghr rt: IV Drip
io: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ru: ml/hr lo: Left Femoral
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake vo: 250 du: ml rt: Intravenous Push
t0: [22:00:00 29/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 29/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [22:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [22:00:00 29/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [22:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [22:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [22:00:00 29/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [22:00:00 29/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 29/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 29/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:00:00 29/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 29/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [22:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [22:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [22:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 29/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 29/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 29/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [22:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml
t0: [22:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 28/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [22:00:00 28/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [22:00:00 28/10/2012] id: Weight Change el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [22:00:00 28/10/2012] id: calprevflg el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [21:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 105 u1: kg st: NotStopd t0: [22:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 105 u1: kg st: NotStopd t0: [22:33:00 29/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [23:00:00 29/10/2012] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: 1663 cv: 7202 ap: none
t0: [22:33:00 29/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 253 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 253 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [22:00:00 29/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 0 vu: ml nb: 1
t0: [22:00:00 29/10/2012] tf: [10:00:00 03/11/2012] dt: 6480 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 29/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 29/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 29/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 29/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [23:00:00 29/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [23:00:00 29/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [23:00:00 29/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 29/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 29/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [23:00:00 29/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 29/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [23:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [23:00:00 29/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [23:00:00 29/10/2012] tf: [10:00:00 03/11/2012] dt: 6420 id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [23:00:00 29/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:33:00 29/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [23:00:00 29/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 105 u1: kg st: NotStopd
t0: [22:33:00 29/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.7 u1: % rs: Final st: NotStopd t0: [22:33:00 29/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd
t0: [00:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 30/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 30/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [00:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [00:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [00:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [00:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: None/Remarks st: NotStopd t0: [00:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [00:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 30/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [00:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [00:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: None st: NotStopd t0: [00:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [00:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 30/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 30/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [00:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [00:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [00:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 29/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [23:00:00 29/10/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 950 ap: none
t0: [00:49:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [00:49:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:49:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:49:00 30/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.1 st: NotStopd t0: [00:49:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:49:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:49:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:49:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [00:49:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 10 st: NotStopd t0: [00:49:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.5 u1: L/min st: NotStopd t0: [00:49:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:49:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:49:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:49:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:49:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:49:00 30/10/2012] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.1 st: NotStopd t0: [00:49:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:49:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [00:49:00 30/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:49:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 608 u1: ml/B st: NotStopd t0: [00:49:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [00:49:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:49:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [01:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [01:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [01:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [01:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [01:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [01:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [02:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [02:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [02:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [02:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [02:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [02:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [02:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [02:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [02:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [02:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [02:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [02:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [02:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/10/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 665 ap: none
t0: [19:00:00 29/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [02:00:00 30/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd
t0: [02:34:00 30/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.51 rs: Final st: NotStopd t0: [02:34:00 30/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [02:34:00 30/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [02:34:00 30/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 30/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 30/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.51 rs: Final st: NotStopd
t0: [02:00:00 30/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [02:20:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.7 u1: % rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 88 rs: Final st: NotStopd
t0: [02:20:00 30/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.4 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 247 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 247 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.4 rs: Final st: NotStopd
t0: [02:48:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [02:48:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd
t0: [02:20:00 30/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:20:00 30/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ra: 10 ru: ml/hr lo: Right Femoral
tf: [02:00:00 31/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 3 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [02:00:00 31/10/2012] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
id: .9% Normal Saline el: 3 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [03:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [03:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [03:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [03:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [03:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/10/2012] tf: [18:00:00 31/10/2012] dt: 2340 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [03:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [03:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [03:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [03:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 30/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 70 cv: 1580 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 70 cv: 2245 ap: none
t0: [03:15:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 150 vu: ml
t0: [23:00:00 30/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -11.1 cv: -11.1 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 58.9 cv: 5712.03 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 58.9 cv: 5712.03 ap: none t0: [23:00:00 30/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -11.1 cv: 3467.03 ap: none t0: [23:00:00 30/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -11.1 cv: 24108.2 ap: carryForward
t0: [00:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 30/10/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 30/10/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [04:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [04:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [04:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 30/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: None/Remarks st: NotStopd t0: [04:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [04:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 30/10/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [04:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [04:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/10/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [04:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [04:00:00 30/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [04:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [04:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [04:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [04:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [11:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 4, 16 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [04:15:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [04:23:00 30/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [04:23:00 30/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:23:00 30/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:23:00 30/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 30/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [04:23:00 30/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [04:50:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [04:50:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:50:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 44 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:50:00 30/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [04:50:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:50:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:50:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:50:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [04:50:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 0.7 st: NotStopd t0: [04:50:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.06 u1: L/min st: NotStopd t0: [04:50:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:50:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:50:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:50:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:50:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [04:50:00 30/10/2012] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [04:50:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:50:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [04:50:00 30/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 16 st: NotStopd t0: [04:50:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 416 u1: ml/B st: NotStopd t0: [04:50:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [04:50:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:50:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [05:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [05:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [05:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [05:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [05:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [05:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 5 vu: ml
t0: [05:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [06:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [06:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [06:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 27cm v2: Lip st: NotStopd t0: [06:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [06:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [06:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [06:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: None/Remarks st: NotStopd t0: [06:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [06:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [06:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [06:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [06:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [06:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [06:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [06:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [06:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [06:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:00:00 30/10/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: Other/Remarks st: NotStopd
t0: [03:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 30/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [06:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:30:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:30:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:30:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [06:30:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [06:30:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [06:30:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [06:30:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [06:30:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:30:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:30:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:30:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.16667 vu: ml t0: [06:30:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 5 vu: ml t0: [06:30:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [19:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 29/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 75 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:30:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:30:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:30:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:45:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd
t0: [07:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [07:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [07:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [07:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [07:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [07:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [07:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [08:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [08:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [08:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [08:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 30/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 30/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [08:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [08:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 12.5 vu: ml t0: [08:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [08:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 15 vu: ml
t0: [07:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [06:45:00 30/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 198 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 441 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 58 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 452 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 147 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [08:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [08:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [08:00:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [08:00:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 30/10/2012] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [08:00:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [08:00:00 30/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 16 st: NotStopd t0: [08:00:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [08:00:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [08:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:45:00 30/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 u1: mEq/L rs: Final st: NotStopd
t0: [06:45:00 30/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 260 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 34.7 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 260 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [06:45:00 30/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.7 rs: Final st: NotStopd
id: Labetolol el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions am: 100 du: mgmin rt: IV Drip
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [08:00:00 30/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [09:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [09:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 175 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [09:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [09:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [09:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [09:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [09:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [09:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [09:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [09:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 30/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [09:15:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:15:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:15:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:15:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:15:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 186 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [09:15:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [09:15:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:15:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [09:15:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [09:15:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:15:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:15:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:15:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:15:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:30:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:30:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:30:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:30:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [09:30:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [09:30:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [09:30:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:30:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:30:00 30/10/2012] tf: [15:00:00 30/10/2012] dt: 330 id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mgmin sv: 100 su: ml rt: IV Drip t0: [09:30:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [09:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [09:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: None/Remarks st: NotStopd t0: [09:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [09:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [09:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [10:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [10:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [10:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [10:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [10:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [10:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [10:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [10:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
tf: [13:00:00 30/10/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Labetalol HCl v1: 200 u1: mg m2: D5W v2: 200 u2: ml tf: [23:00:00 31/10/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Labetalol HCl v1: 600 u1: mg m2: D5W v2: 600 u2: ml tf: [13:00:00 05/11/2012] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO dn: 1 m1: Labetalol HCl v1: 600 u1: mg m2: D5W v2: 300 u2: ml
t0: [10:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [10:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [10:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102 u1: Deg. F st: NotStopd
t0: [10:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mgmin sv: 100 su: ml rt: IV Drip
tf: [10:00:00 03/11/2012] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [13:00:00 05/11/2012] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl v1: 2-4 u1: mg
t0: [11:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [11:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [11:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [11:00:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [11:00:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.1 u1: L/min st: NotStopd t0: [11:00:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [11:00:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [11:00:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [11:00:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [11:00:00 30/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17 st: NotStopd t0: [11:00:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [11:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:00:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:31:00 30/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 163 u1: mmHg rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.09 rs: Final st: NotStopd t0: [11:31:00 30/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd
t0: [11:30:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd
t0: [12:00:00 30/10/2012] id: Corneal Reflex R/L el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [11:30:00 30/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 309 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 309 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [10:00:00 30/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [10:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [11:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [11:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Push st: NotStopd t0: [11:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [11:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [12:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [12:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right Femoral st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [12:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [12:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [12:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Hot v2: Dry st: NotStopd t0: [12:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [12:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [12:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 30/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 30/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 30/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [11:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [11:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [11:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [12:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [12:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [12:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12.5 vu: ml
t0: [11:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [12:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [11:30:00 30/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [11:30:00 30/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd
t0: [12:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [13:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 30/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [13:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [13:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [13:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [14:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [14:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [14:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [14:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16.6667 vu: ml t0: [14:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [14:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 25 vu: ml
t0: [12:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [13:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [14:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 100 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 30/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [15:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [15:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [15:00:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [15:00:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [15:00:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:00:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [15:00:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 0.95 u1: sec st: NotStopd t0: [15:00:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 30/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [15:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:00:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:08:00 30/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 153 u1: mmHg rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.01 rs: Final st: NotStopd t0: [15:08:00 30/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [10:00:00 30/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [15:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [15:00:00 30/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [15:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [15:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [15:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [15:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12.5 vu: ml
t0: [15:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/10/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mgmin sv: 100 su: ml rt: IV Drip st: Stopped t0: [15:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [13:00:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CMV st: NotStopd t0: [15:00:00 30/10/2012] id: Previous Weight el: 0 cu: MICU-A cg: RRT v1: 105 u1: kg st: NotStopd
t0: [15:30:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd
t0: [15:00:00 30/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [09:00:00 30/10/2012] tf: [14:50:00 05/11/2012] dt: 8990 id: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 90 vu: ml t0: [10:00:00 30/10/2012] id: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 90 vu: ml t0: [12:00:00 30/10/2012] id: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 180 vu: ml t0: [14:00:00 30/10/2012] id: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 180 vu: ml t0: [15:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 1000 vu: ml t0: [16:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 30/10/2012] id: .9% Normal Saline 100.0ml + 100mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 180 vu: ml t0: [16:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12.5 vu: ml
tf: [20:00:00 31/10/2012] pt: Unit Dose rt: NG fr: TID fs: 08, 16, 22 dn: 3 m1: Lactulose v1: 30 u1: ml
t0: [17:00:00 30/10/2012] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 30/10/2012] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 30/10/2012] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 30/10/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 30/10/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 30/10/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [15:00:00 30/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 30/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [16:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 30/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [16:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [16:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [16:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [16:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [16:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Hot v2: Dry st: NotStopd t0: [16:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 30/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2012] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [17:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [17:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [17:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [17:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12.5 vu: ml
t0: [16:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [14:00:00 30/10/2012] id: CoolingDevice/Status el: 0 cu: MICU-A cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [16:00:00 30/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [17:00:00 30/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [17:00:00 30/10/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 30/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 30/10/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [18:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 30/10/2012] id: bath el: 0 cu: MICU-A cg: RN v1: Done t0: [18:00:00 30/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [18:00:00 30/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 30/10/2012] id: CoolingDevice/Status el: 0 cu: MICU-A cg: RN v1: Cooling Blanket v2: On st: NotStopd t0: [18:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [18:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 30/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [18:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 30/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [18:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [18:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [18:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 30/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [17:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [18:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [18:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [18:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12.5 vu: ml
t0: [18:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [19:00:00 30/10/2012] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 30/10/2012] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 30/10/2012] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 30/10/2012] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 30/10/2012] id: TCPCV-MAP el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 30/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [20:00:00 30/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 27cm v2: Lip st: NotStopd t0: [20:00:00 30/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 30/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [20:00:00 30/10/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 30/10/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 30/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 30/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [20:00:00 30/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 6 st: NotStopd t0: [20:00:00 30/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 4 v2: Combivent st: NotStopd t0: [20:00:00 30/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 12.1 u1: L/min st: NotStopd t0: [20:00:00 30/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: Peak Flow el: 0 cu: MICU-A cg: CRT u1: L/m st: NotStopd t0: [20:00:00 30/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 36 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [20:00:00 30/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 98 u1: % st: NotStopd t0: [20:00:00 30/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 30/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 30/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 30/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd t0: [20:00:00 30/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
tf: [19:00:00 31/10/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 20 dn: 1 m1: NS v1: 100 u1: ml m2: Calcium Gluconate v2: 2 u2: gm
t0: [19:45:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:45:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [19:45:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:45:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:45:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:45:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:45:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [19:45:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:45:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [19:45:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:45:00 30/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [19:45:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [19:45:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:45:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:45:00 30/10/2012] tf: [14:50:00 05/11/2012] dt: 8345 id: Sandostatin el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 80 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [19:45:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [20:15:00 30/10/2012] tf: [02:05:00 01/11/2012] dt: 1790 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 30/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 30/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 30/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 30/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 30/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [20:00:00 30/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 30/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [20:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 30/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 30/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/10/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 30/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 30/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 30/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 30/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [20:00:00 30/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 30/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [20:00:00 30/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 30/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 30/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 30/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 30/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 30/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 30/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 30/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 30/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 30/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:45:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [20:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [20:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 20 vu: ml
t0: [20:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [20:33:00 30/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [20:33:00 30/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [20:11:00 30/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.4 u1: % rs: Final st: NotStopd
t0: [20:11:00 30/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mg/dl rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 119 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [20:11:00 30/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [21:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/10/2012] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 105 u1: kg st: NotStopd t0: [21:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [21:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [21:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [21:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [22:00:00 30/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 30/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [22:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [22:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 30/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [20:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [21:00:00 30/10/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [22:00:00 30/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [22:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [22:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [19:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip st: Stopped t0: [20:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 30/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:32:00 30/10/2012] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 105 u1: kg t0: [22:32:00 30/10/2012] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:32:00 30/10/2012] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: GI BLEED t0: [22:32:00 30/10/2012] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:32:00 30/10/2012] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Marital Status el: 1006 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:32:00 30/10/2012] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:32:00 30/10/2012] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 30/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 30/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 30/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 30/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 30/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 30/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 30/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [23:00:00 30/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [23:00:00 30/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 30/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 30/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [23:00:00 30/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [00:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [00:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [23:00:00 30/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 30/10/2012] id: CoolingDevice/Status el: 0 cu: MICU-A cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [21:00:00 30/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 30/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [21:00:00 30/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 30/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [21:00:00 30/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 30/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 30/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 30/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 30/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 30/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [00:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 31/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/10/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [00:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [00:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 31/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 31/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd
t0: [00:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 31/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:00:00 31/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 27cm v2: Lip st: NotStopd t0: [00:00:00 31/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 31/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [00:00:00 31/10/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 31/10/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 31/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 31/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [00:00:00 31/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 6 st: NotStopd t0: [00:00:00 31/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 4 v2: Combivent st: NotStopd t0: [00:00:00 31/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 12 u1: L/min st: NotStopd t0: [00:00:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 37 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [00:00:00 31/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 31/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 31/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 31/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 31/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 31/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd t0: [00:00:00 31/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [00:24:00 31/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [00:24:00 31/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [00:24:00 31/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [00:24:00 31/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [00:24:00 31/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [00:24:00 31/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [01:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [01:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [01:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [01:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Potassium Phosphate el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions am: 22 du: mEq rt: Intravenous Push
io: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 42 ru: ml/hr
tf: [01:00:00 01/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: Potassium Phosphate v1: 30 u1: mmol m2: NS v2: 250 u2: ml
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Infusion
t0: [02:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [02:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 31/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [02:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [02:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [02:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [02:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [02:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [02:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 31/10/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 220 cv: 220 ap: none t0: [23:00:00 31/10/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 16.9 cv: 16.9 ap: none t0: [23:00:00 31/10/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 236.9 cv: 3073.6 ap: none t0: [23:00:00 31/10/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 236.9 cv: 3143.6 ap: none t0: [23:00:00 31/10/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 220 cv: 3730 ap: none t0: [23:00:00 31/10/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 16.9 cv: -886.4 ap: none t0: [23:00:00 31/10/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 220 cv: 4030 ap: none t0: [23:00:00 31/10/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 16.9 cv: 23221.9 ap: carryForward
t0: [01:58:00 31/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.3 u1: % rs: Final st: NotStopd
t0: [04:00:00 31/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [04:00:00 31/10/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: CRT v1: PEEP >10 st: NotStopd t0: [04:00:00 31/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 27cm v2: Lip st: NotStopd t0: [04:00:00 31/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 31/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [04:00:00 31/10/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 31/10/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 31/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 31/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [04:00:00 31/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 6 st: NotStopd t0: [04:00:00 31/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 4 v2: Combivent st: NotStopd t0: [04:00:00 31/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 11.9 u1: L/min st: NotStopd t0: [04:00:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 39 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [04:00:00 31/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 99 u1: % st: NotStopd t0: [04:00:00 31/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 453 u1: ml/B st: NotStopd t0: [04:00:00 31/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 31/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 31/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd t0: [04:00:00 31/10/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [02:00:00 31/10/2012] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [02:00:00 31/10/2012] id: CoolingDevice/Status el: 0 cu: MICU-A cg: RN v1: Cooling Blanket v2: Off st: NotStopd t0: [02:00:00 31/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [02:00:00 31/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 31/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 31/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [03:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [03:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [04:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 31/10/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/10/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [04:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [04:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 31/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 31/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 31/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [04:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [04:00:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 31/10/2012] tf: [09:00:00 31/10/2012] dt: 360 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [03:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [03:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [04:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [04:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [04:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [03:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:10:00 31/10/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [05:10:00 31/10/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd
t0: [05:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [05:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 31/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [04:00:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [05:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [05:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [05:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml t0: [05:00:00 31/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [06:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [06:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [06:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [05:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 31/10/2012] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 300 ap: none
t0: [05:00:00 31/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.3 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 80.8 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.1 u1: % rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 70 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.69 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [05:00:00 31/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 33.3 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33.3 rs: Final st: NotStopd
t0: [05:00:00 31/10/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 118 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 185 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 313 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 56 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 118 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 257 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [06:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 31/10/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 31/10/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mg/dl rs: Final st: NotStopd
t0: [07:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [07:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [07:00:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [07:00:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [07:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [07:00:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 31/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [07:00:00 31/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Blakemore v2: Oral st: NotStopd t0: [08:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [08:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [08:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [08:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 31/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [08:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 31/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 31/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 31/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [08:00:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [19:00:00 30/10/2012] id: Gastric Blakemore el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [08:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 84 vu: ml t0: [08:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [08:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 20 vu: ml
t0: [08:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 31/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [09:00:00 31/10/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 16 t0: [09:00:00 31/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 27cm v2: Lip st: NotStopd t0: [09:00:00 31/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:00:00 31/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [09:00:00 31/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 31/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 31/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [09:00:00 31/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [09:00:00 31/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [09:00:00 31/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [09:00:00 31/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [09:00:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: Peak Flow el: 0 cu: MICU-A cg: RRT u1: L/m st: NotStopd t0: [09:00:00 31/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [09:00:00 31/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Tenacious st: NotStopd t0: [09:00:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 31/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:00:00 31/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 31/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 31/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [09:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [09:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Diminished st: NotStopd t0: [09:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RRT v1: Coarse st: NotStopd t0: [09:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RRT v1: Regular st: NotStopd
t0: [09:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [10:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [10:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [10:00:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [10:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [10:00:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [10:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [10:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 20 vu: ml
t0: [10:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:47:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd
t0: [11:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [11:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [11:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [11:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:15:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd
t0: [11:00:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [12:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 26 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: Trauma Line v2: Right IJ st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [12:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [12:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [12:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 31/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 31/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 31/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [13:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 26 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 31/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 31/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [13:00:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 31/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 31/10/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [12:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 10 vu: ml
t0: [12:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [14:00:00 31/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 24 u1: mmHg st: NotStopd t0: [14:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [14:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [14:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [14:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [14:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [14:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 20 vu: ml
t0: [14:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [15:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [15:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:13:00 31/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [15:13:00 31/10/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 16 t0: [15:13:00 31/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:13:00 31/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:13:00 31/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:13:00 31/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:13:00 31/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [15:13:00 31/10/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:13:00 31/10/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:13:00 31/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [15:13:00 31/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [15:13:00 31/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 9 st: NotStopd t0: [15:13:00 31/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [15:13:00 31/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [15:13:00 31/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [15:13:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:13:00 31/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:13:00 31/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:13:00 31/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:13:00 31/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:13:00 31/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:13:00 31/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:13:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [15:13:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:13:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [15:13:00 31/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:13:00 31/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:13:00 31/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:13:00 31/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 31/10/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 31/10/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [16:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 31/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 31/10/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [16:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [16:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 31/10/2012] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [16:00:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [16:00:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 31/10/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [16:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [16:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/10/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 31/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 31/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [16:00:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [15:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [15:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml t0: [16:00:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [16:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [16:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 31/10/2012] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 31/10/2012] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 31/10/2012] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [10:00:00 01/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [16:00:00 31/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Cultured st: NotStopd
t0: [16:30:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:30:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:30:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:30:00 31/10/2012] tf: [17:00:00 31/10/2012] dt: 30 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21 vu: ml t0: [16:30:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [16:30:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 4 vu: ml
t0: [17:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [16:00:00 31/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [17:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [18:00:00 31/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [18:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [18:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [18:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [18:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [10:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [11:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [12:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [14:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [15:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [16:00:00 31/10/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml t0: [18:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [18:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml t0: [18:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12 vu: ml
t0: [17:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:32:00 31/10/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32 u1: % rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd
t0: [17:32:00 31/10/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 262 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd
t0: [17:32:00 31/10/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [17:32:00 31/10/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
io: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: Criticare HN el: 1 cu: MICU-A cg: RN io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [20:00:00 31/10/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 15.1515 u1: ml/cmH st: NotStopd t0: [20:00:00 31/10/2012] id: high ve el: 0 cu: MICU-A cg: CRT v1: 20 t0: [20:00:00 31/10/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 31/10/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 31/10/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [20:00:00 31/10/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [20:00:00 31/10/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 31/10/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 31/10/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [20:00:00 31/10/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 7 st: NotStopd t0: [20:00:00 31/10/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 8 v2: Combivent st: NotStopd t0: [20:00:00 31/10/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 12.4 u1: L/min st: NotStopd t0: [20:00:00 31/10/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: Peak Flow el: 0 cu: MICU-A cg: CRT u1: L/m st: NotStopd t0: [20:00:00 31/10/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [20:00:00 31/10/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 97 u1: % st: NotStopd t0: [20:00:00 31/10/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 578 u1: ml/B st: NotStopd t0: [20:00:00 31/10/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 31/10/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [20:00:00 31/10/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd
t0: [19:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [19:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:30:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:30:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:30:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:30:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:30:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:30:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:30:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:30:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:30:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [19:30:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:30:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:30:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:30:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:30:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [19:30:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/10/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 31/10/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 31/10/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 31/10/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 31/10/2012] id: IV #3 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 31/10/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 31/10/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 31/10/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 31/10/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 31/10/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [20:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 31/10/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 31/10/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/10/2012] id: IV #3 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 31/10/2012] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 31/10/2012] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Right Hand v2: 20 gauge st: NotStopd t0: [20:00:00 31/10/2012] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [20:00:00 31/10/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 31/10/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 31/10/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 31/10/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/10/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 31/10/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 31/10/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 31/10/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [20:00:00 31/10/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/10/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 31/10/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 31/10/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [20:00:00 31/10/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 31/10/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.7222 u1: Deg. C st: NotStopd t0: [20:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.7 u1: Deg. F st: NotStopd t0: [20:00:00 31/10/2012] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/10/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/10/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 31/10/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 31/10/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [19:00:00 31/10/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml st: Stopped t0: [20:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 31/10/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [20:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [20:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 16 vu: ml
t0: [19:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:30:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:30:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 31/10/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 10 ap: none
t0: [20:30:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:30:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:30:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 31/10/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:30:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:30:00 31/10/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:30:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:30:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:30:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:30:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 31/10/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:30:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:30:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:30:00 31/10/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [20:30:00 31/10/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:30:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [20:30:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:30:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [10:00:00 01/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [20:00:00 01/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 21 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [10:00:00 04/11/2012] pt: Unit Dose rt: IV fr: Q6H fs: 21, 3, 9, 15 dn: 4 m1: Metoclopramide v1: 10 u1: mg tf: [10:00:00 04/11/2012] pt: Unit Dose rt: NG fr: Q4H fs: 21, 1, 5, 9, 13, 17 dn: 6 m1: Lactulose v1: 60 u1: ml
t0: [21:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [21:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [21:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [21:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [22:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [22:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101 u1: Deg. F st: NotStopd t0: [22:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml t0: [22:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [22:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:15:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:15:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:15:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:15:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 31/10/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [22:15:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [22:15:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 31/10/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:15:00 31/10/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [22:15:00 31/10/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:15:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:15:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:15:00 31/10/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:15:00 31/10/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:15:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:15:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:15:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:15:00 31/10/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:15:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:30:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:30:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [22:30:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:30:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:30:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:30:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:30:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [22:15:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:15:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:30:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:30:00 31/10/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:30:00 31/10/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [23:00:00 31/10/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 31/10/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/10/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 31/10/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 31/10/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 31/10/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [23:00:00 31/10/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 31/10/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/10/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Pan Cultured st: NotStopd t0: [23:00:00 31/10/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [23:00:00 31/10/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 31/10/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 31/10/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.8333 u1: Deg. C st: NotStopd t0: [23:00:00 31/10/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.9 u1: Deg. F st: NotStopd t0: [23:00:00 31/10/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 31/10/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 31/10/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 220 vu: ml t0: [23:00:00 31/10/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [23:00:00 31/10/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [00:00:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: CRT v1: 20 t0: [00:00:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [00:00:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [00:00:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [00:00:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 7 st: NotStopd t0: [00:00:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 8 v2: Combivent st: NotStopd t0: [00:00:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 12.2 u1: L/min st: NotStopd t0: [00:00:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 26 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [00:00:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 97 u1: % st: NotStopd t0: [00:00:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 627 u1: ml/B st: NotStopd t0: [00:00:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [00:00:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd
id: Labetolol el: 101 cu: MICU-A cg: RN io: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions am: 600 du: mgmin rt: IV Drip
tf: [06:00:00 06/11/2012] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen (Liquid) v1: 650 u1: mg
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions vo: 300 du: ml rt: Intravenous Push
t0: [00:00:00 01/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 01/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 01/11/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 7 st: NotStopd t0: [00:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 01/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Tremors st: NotStopd t0: [00:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 183 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 01/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: Pinpoint v2: Pinpoint st: NotStopd t0: [00:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [00:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [00:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [00:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.6 u1: Deg. F st: NotStopd t0: [00:00:00 01/11/2012] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 01/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 01/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:15:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:15:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:15:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:15:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:15:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:15:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:15:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:15:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 191 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [00:15:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg st: NotStopd t0: [00:15:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:15:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:15:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:15:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:30:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:30:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:30:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [00:30:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:30:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:30:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 31/10/2012] tf: [08:00:00 01/11/2012] dt: 720 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [20:00:00 31/10/2012] tf: [14:50:00 05/11/2012] dt: 6890 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml t0: [23:45:00 31/10/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 01/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 01/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 120 vu: ml t0: [00:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [00:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml t0: [00:15:00 01/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml nb: 1
t0: [00:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:15:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:15:00 01/11/2012] tf: [02:00:00 01/11/2012] dt: 105 id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [00:15:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:30:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:30:00 01/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [00:30:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 31/10/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [00:45:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:45:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:45:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:45:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:45:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:45:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:45:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:45:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:45:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:45:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:45:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:45:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:45:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:45:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:45:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:45:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:45:00 01/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [00:45:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [01:00:00 01/11/2012] tf: [02:00:00 01/11/2012] dt: 60 id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.25 vu: ml t0: [01:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [01:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:45:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:45:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:45:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:45:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:45:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:45:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:45:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:45:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [01:45:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:45:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:45:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:45:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:45:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:45:00 01/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [01:45:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 01/11/2012] id: D5W 100.0ml + 600mcghr Sandostatin IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [02:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [02:00:00 01/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 15 vu: ml st: Stopped t0: [02:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [20:00:00 31/10/2012] id: Sandostatin el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip st: Stopped t0: [02:00:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 01/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [02:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [02:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.2 u1: Deg. F st: NotStopd t0: [02:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:05:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:05:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:05:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:05:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:05:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:05:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:05:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:05:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:05:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:05:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:05:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [02:05:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:05:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:10:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:10:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:10:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:10:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:10:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:10:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [02:10:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:10:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:10:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [02:10:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:10:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:10:00 01/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [02:10:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:10:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:10:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [02:05:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:05:00 01/11/2012] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [02:10:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 31/10/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd
t0: [02:20:00 01/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:20:00 01/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml
t0: [23:00:00 01/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 360 ap: none
t0: [03:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 01/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [03:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [03:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [03:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [03:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 530 cv: 530 ap: none t0: [23:00:00 01/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -342 cv: -342 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 158 cv: 2285.88 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 188 cv: 3040.88 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 530 cv: 3910 ap: none t0: [23:00:00 01/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -342 cv: -2869.12 ap: carryForward t0: [23:00:00 01/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 530 cv: 5910 ap: carryForward t0: [23:00:00 01/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -342 cv: 20352.7 ap: carryForward
t0: [00:00:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd t0: [04:00:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: CRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [04:00:00 01/11/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: CRT v1: PEEP >10 st: NotStopd t0: [04:00:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: CRT v1: 20 t0: [04:00:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: CRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: CRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: CRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: CRT v1: 1:1.7 st: NotStopd t0: [04:00:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: CRT v1: 7.5 mm st: NotStopd t0: [04:00:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: CRT v1: 9 v2: 28 st: NotStopd t0: [04:00:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: CRT v1: 7 st: NotStopd t0: [04:00:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: CRT v1: 8 v2: Combivent st: NotStopd t0: [04:00:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: CRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: CRT v1: 12.2 u1: L/min st: NotStopd t0: [04:00:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: CRT v1: 33 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: CRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: CRT v1: Yes st: NotStopd t0: [04:00:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: CRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: CRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: CRT v1: 100 u1: % st: NotStopd t0: [04:00:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: CRT v1: 503 u1: ml/B st: NotStopd t0: [04:00:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: CRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: CRT v1: Assist Control st: NotStopd t0: [04:00:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: CRT v1: Drager st: NotStopd t0: [04:00:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: CRT v1: RAMP st: NotStopd
t0: [04:00:00 01/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2012] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [04:00:00 01/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 01/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [04:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [04:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Tremors st: NotStopd t0: [04:00:00 01/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 01/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 01/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [04:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [04:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Melena v2: Liquid st: NotStopd t0: [04:00:00 01/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 01/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [04:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [04:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 01/11/2012] id: Untoward Effect el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:30:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:30:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:30:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd
t0: [04:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [04:00:00 01/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [04:00:00 01/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [04:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [04:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml t0: [04:30:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml st: Restart
t0: [04:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [04:54:00 01/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.37 rs: Final st: NotStopd t0: [04:54:00 01/11/2012] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd
t0: [05:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 01/11/2012] tf: [08:00:00 04/11/2012] dt: 4500 id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [05:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [05:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [04:45:00 01/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.6 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.6 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.8 u1: % rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.61 u1: /mic l rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.6 rs: Final st: NotStopd
t0: [04:45:00 01/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 193 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 73 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 221 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd
t0: [04:45:00 01/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 31.9 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.5 rs: Final st: NotStopd t0: [04:45:00 01/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.9 rs: Final st: NotStopd
t0: [06:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [06:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [06:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 8 vu: ml
t0: [06:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 80 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:30:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [06:30:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:30:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [06:30:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:30:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:30:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [06:30:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:30:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:30:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:30:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:30:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:30:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:30:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:30:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:30:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [06:30:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [06:30:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:30:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 01/11/2012] tf: [14:50:00 05/11/2012] dt: 6260 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [06:30:00 01/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [06:30:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [07:00:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [07:00:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [07:00:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [07:00:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [07:00:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [07:00:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [07:00:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [07:00:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [07:00:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [07:00:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [07:00:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [07:00:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:00:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [07:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 01/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [08:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 184 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2012] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [08:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Melena v2: Liquid st: NotStopd t0: [08:00:00 01/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 01/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [08:00:00 01/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [08:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 14.5 vu: ml
t0: [07:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [09:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [09:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 7 vu: ml
t0: [09:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 01/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 350 vu: ml
t0: [10:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [10:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [10:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [10:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [10:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [11:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [11:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [11:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [11:15:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:15:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:15:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 211 u1: mmHg v2: 107 u2: mmHg st: NotStopd t0: [11:15:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg st: NotStopd t0: [11:15:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:15:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:15:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:15:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:00:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [12:00:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [12:00:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [12:00:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [12:00:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [12:00:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [12:00:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [12:00:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [12:00:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [11:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [11:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [11:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [11:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 01/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Ultrasound st: NotStopd t0: [11:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [11:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [11:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [11:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [12:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [12:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml t0: [12:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 5.5 vu: ml
t0: [12:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [12:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Melena v2: Liquid st: NotStopd t0: [12:00:00 01/11/2012] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 01/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [13:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [13:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [13:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [13:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 01/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml t0: [13:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 7 vu: ml
t0: [13:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 01/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [13:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [13:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [15:00:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [15:00:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [15:00:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:00:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [15:00:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [15:00:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [15:00:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [15:00:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [15:00:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.2 u1: L/min st: NotStopd t0: [15:00:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [15:00:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [15:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [15:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [15:00:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:00:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [14:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [15:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [13:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [15:00:00 01/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 700 vu: ml t0: [15:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 370 vu: ml t0: [15:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 14 vu: ml
t0: [14:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 70 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [15:49:00 01/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 114 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [15:49:00 01/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd
t0: [16:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [16:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 01/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [16:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 7 vu: ml
t0: [16:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
tf: [16:00:00 02/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 17 dn: 1 m1: Potassium Phosphate v1: 15 u1: mmol m2: NS v2: 250 u2: ml tf: [16:00:00 02/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [16:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [17:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [17:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 01/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 01/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [17:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [17:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [18:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [18:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [17:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [18:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml
t0: [18:30:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [18:30:00 01/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [17:32:00 01/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.6 u1: % rs: Final st: NotStopd
t0: [18:00:00 01/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd
t0: [18:30:00 01/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [18:30:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [23:00:00 01/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 2000 ap: carryForward
t0: [20:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:05:00 01/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [20:05:00 01/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [20:05:00 01/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:05:00 01/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:05:00 01/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:05:00 01/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [20:05:00 01/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:05:00 01/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:05:00 01/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:05:00 01/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [20:05:00 01/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [20:05:00 01/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 8 v2: Combivent st: NotStopd t0: [20:05:00 01/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [20:05:00 01/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [20:05:00 01/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [20:05:00 01/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [20:05:00 01/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:05:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [20:05:00 01/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 474 u1: ml/B st: NotStopd t0: [20:05:00 01/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:05:00 01/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:05:00 01/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:05:00 01/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 01/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 01/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 01/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 01/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 01/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 01/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 01/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 01/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 01/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 01/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 01/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 01/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/11/2012] tf: [00:30:00 02/11/2012] dt: 270 id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 63 vu: ml t0: [20:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 12 vu: ml
t0: [20:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [20:30:00 01/11/2012] id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: Done st: NotStopd
t0: [20:00:00 01/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 01/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 01/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 01/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 01/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 01/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 01/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 01/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [21:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [21:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [21:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 02/11/2012] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [22:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [22:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [22:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [22:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [22:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [22:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [22:00:00 01/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 01/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 39.1111 u1: Deg. C st: NotStopd
t0: [23:00:00 01/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 01/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 01/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 01/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 01/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/11/2012] tf: [14:50:00 05/11/2012] dt: 5330 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [23:00:00 01/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [23:00:00 01/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 01/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [23:00:00 01/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/11/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 395 ap: none
t0: [00:00:00 02/11/2012] id: Plateau-Off el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:10:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [00:10:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [00:10:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [00:10:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:10:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:10:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [00:10:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [00:10:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:10:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [00:10:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [00:10:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [00:10:00 02/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [00:10:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [00:10:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:10:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:10:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:10:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [00:10:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:10:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [00:10:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [00:10:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:10:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:10:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:10:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 01/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 01/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 01/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 01/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 102.4 u1: Deg. F st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [23:00:00 01/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 01/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 530 vu: ml t0: [00:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 42 vu: ml t0: [00:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1250 vu: ml t0: [00:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [00:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [00:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.6 u1: Deg. F st: NotStopd
t0: [01:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 02/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml t0: [00:30:00 02/11/2012] id: .9% Normal Saline 250.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21 vu: ml st: Stopped t0: [01:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [01:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [01:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 760 ap: none
t0: [02:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [02:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [02:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [02:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [02:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [02:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 350 cv: 350 ap: none t0: [23:00:00 02/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -29 cv: -29 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 261 cv: 1409.5 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 321 cv: 3289.5 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 60 cv: 1120 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 350 cv: 5170 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -29 cv: -2900.5 ap: none t0: [23:00:00 02/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 350 cv: 6190 ap: none t0: [23:00:00 02/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -29 cv: 17452.2 ap: carryForward
t0: [00:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Dangle st: NotStopd t0: [00:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [04:10:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:10:00 02/11/2012] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: PEEP >10 st: NotStopd t0: [04:10:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [04:10:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:10:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:10:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [04:10:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [04:10:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:10:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [04:10:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [04:10:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [04:10:00 02/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [04:10:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [04:10:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:10:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [04:10:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:10:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:10:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [04:10:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:10:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:10:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:10:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:22:00 02/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:22:00 02/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:22:00 02/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:22:00 02/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:22:00 02/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [04:22:00 02/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [02:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [03:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml t0: [04:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [04:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml
t0: [03:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.6 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.54 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 6.6 rs: Final st: NotStopd
t0: [04:00:00 02/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 31.6 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.6 rs: Final st: NotStopd
t0: [04:00:00 02/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 120 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 56 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 81 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 198 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [04:00:00 02/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd
t0: [05:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [05:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [05:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 175 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [05:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 6 vu: ml t0: [06:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [06:00:00 02/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [06:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [06:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 5 vu: ml
t0: [05:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [06:30:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:30:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:30:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:30:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:30:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 181 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [06:30:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [06:30:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:30:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:30:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:35:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:35:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:35:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:35:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:35:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:35:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 189 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [06:35:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [06:35:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:35:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:35:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:35:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:45:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:45:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:45:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:45:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:45:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 183 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [06:45:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [06:45:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:45:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:45:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:45:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:50:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:50:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:50:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:50:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:50:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:50:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [06:50:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:50:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:50:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:50:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:50:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [06:50:00 02/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 250 vu: ml
t0: [06:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:30:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:35:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:45:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:50:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:50:00 02/11/2012] tf: [16:00:00 02/11/2012] dt: 550 id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 02/11/2012] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [07:00:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [07:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [07:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [07:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.7 st: NotStopd t0: [07:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [07:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [07:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [07:00:00 02/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 4 v2: Combivent st: NotStopd t0: [07:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [07:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 02/11/2012] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 28 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [07:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [07:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 02/11/2012] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [07:00:00 02/11/2012] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [07:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 02/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [07:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 5 vu: ml t0: [08:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 80 vu: ml t0: [08:00:00 02/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 600 vu: ml t0: [08:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 170 vu: ml t0: [08:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 3 vu: ml
t0: [07:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 30 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
tf: [07:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 8 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: D5W v2: 500 u2: ml
t0: [09:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [09:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [07:00:00 02/11/2012] tf: [16:00:00 02/11/2012] dt: 540 id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 15 vu: ml t0: [08:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 15 vu: ml t0: [09:00:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [09:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 22.5 vu: ml t0: [09:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [09:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [09:00:00 02/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: ON t0: [09:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [09:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [09:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [09:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [09:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [09:00:00 02/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 02/11/2012] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 02/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [09:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [09:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [09:00:00 02/11/2012] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
tf: [11:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [09:00:00 05/11/2012] pt: Unit Dose rt: NU fr: BID:PRN m1: Oxymetazoline HCl v1: 1 u1: SPRY tf: [13:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Iso-Osmotic Sodium Chloride v1: 50 u1: ml m2: Famotidine v2: 20 u2: mg
t0: [10:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [10:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [10:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 22.5 vu: ml t0: [10:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [10:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [10:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [11:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Sputum Cx st: NotStopd t0: [11:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [12:00:00 02/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [12:00:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [12:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [12:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [12:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [12:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [12:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [12:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [12:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 02/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 02/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [12:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 02/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [12:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1300 vu: ml t0: [12:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 45 vu: ml t0: [12:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 4 vu: ml
t0: [12:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [13:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [13:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 360 vu: ml t0: [13:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [13:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [08:00:00 02/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 250 vu: ml t0: [13:00:00 02/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 100 vu: ml
t0: [14:33:00 02/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [14:33:00 02/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [14:33:00 02/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [14:33:00 02/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [14:33:00 02/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 128 u1: mmHg rs: Final st: NotStopd t0: [14:33:00 02/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [14:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [14:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [14:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 350 vu: ml t0: [14:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [14:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [15:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [15:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.75 du: mgmin sv: 100 su: ml rt: IV Drip
t0: [15:00:00 02/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [15:00:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [15:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [15:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [15:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 7 st: NotStopd t0: [15:00:00 02/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [15:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 02/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [15:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [15:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 02/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 780 u1: ml/B st: NotStopd t0: [15:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
tf: [12:00:00 02/11/2012] pt: Unit Dose rt: IV fr: TID fs: 08, 16, 22 dn: 3 m1: Furosemide v1: 40 u1: mg tf: [17:00:00 04/11/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Propranolol HCl v1: 40 u1: mg
t0: [16:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [16:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [16:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [16:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 67.5 vu: ml t0: [16:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [09:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 20 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 20 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 20 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 20 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 20 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/11/2012] id: Labetolol el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mgmin sv: 100 su: ml rt: IV Drip st: Stopped
t0: [17:00:00 02/11/2012] id: .9% Normal Saline 300.0ml + 600mgmin Labetolol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [16:49:00 02/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd
t0: [16:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [17:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [17:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [17:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [17:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [17:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [18:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [18:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [18:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [18:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml t0: [18:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [17:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [18:00:00 02/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [23:00:00 02/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1020 ap: none
t0: [19:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [19:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [19:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [19:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [19:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [19:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [16:49:00 02/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [16:49:00 02/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 rs: Final st: NotStopd
t0: [20:00:00 02/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 02/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 02/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 02/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 02/11/2012] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 02/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 02/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 02/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 02/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 02/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 02/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 02/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 02/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 02/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [20:00:00 02/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 02/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2012] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm v2: 0.5 cm st: NotStopd t0: [20:00:00 02/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [20:00:00 02/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [20:00:00 02/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [20:00:00 02/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 02/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 02/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 02/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 02/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 02/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 02/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 02/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 02/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 02/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 02/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 02/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 02/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [20:00:00 02/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 02/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 02/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 02/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [20:00:00 02/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 02/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 02/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [20:00:00 02/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 02/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 02/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 02/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [20:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [20:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 02/11/2012] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [20:00:00 02/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [20:00:00 02/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 02/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 02/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [20:00:00 02/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 02/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [20:00:00 02/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 02/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 775 u1: ml/B st: NotStopd t0: [20:00:00 02/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [21:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [21:00:00 02/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [21:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [21:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [21:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 02/11/2012] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 112 vo: 60 vu: ml
tf: [21:00:00 03/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: SW v1: 100 u1: ml m2: Potassium Chloride v2: 40 u2: mEq tf: [00:00:00 05/11/2012] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 02/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 02/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [22:00:00 02/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [22:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [22:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [22:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 02/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 02/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [23:00:00 02/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 02/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 02/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [23:00:00 02/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 350 vu: ml t0: [23:00:00 02/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [23:00:00 02/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml
t0: [00:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 25cm v2: Lip st: NotStopd t0: [00:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [00:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 03/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 03/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [00:00:00 03/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [00:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 03/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [00:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 03/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 03/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 03/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [00:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml t0: [00:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [00:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 03/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [01:00:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [01:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [01:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [01:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [01:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [01:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:00:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [01:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 12 u1: . st: NotStopd t0: [01:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [01:00:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 900 u1: ml/B st: NotStopd t0: [01:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [01:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [01:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [02:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [02:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 900 vu: ml t0: [02:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml
t0: [01:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [02:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 03/11/2012] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [03:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [03:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 03/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 03/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml t0: [03:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [02:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 03/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 850 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 70 cv: 2540 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 60 cv: 1440 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 5030 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: -3790 ap: none t0: [23:00:00 03/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 6330 ap: none t0: [23:00:00 03/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: 13662.2 ap: carryForward
t0: [03:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 25cm v2: Lip st: NotStopd t0: [03:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [03:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [03:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [04:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 03/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 03/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [04:00:00 03/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 03/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 03/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [04:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [04:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 03/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [04:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 03/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 03/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [04:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [04:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [04:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [04:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [04:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [04:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [05:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [05:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [05:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [05:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.2 u1: % rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [04:00:00 03/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 245 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 32.9 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 245 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 32.9 rs: Final st: NotStopd
t0: [04:00:00 03/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 113 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 216 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:00:00 03/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd
t0: [06:00:00 03/11/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 18.6667 u1: units st: NotStopd t0: [06:00:00 03/11/2012] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: RRT u1: cmH2O st: NotStopd t0: [06:00:00 03/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [06:00:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [06:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [06:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [06:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [06:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [06:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [06:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [06:00:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [06:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [06:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [06:00:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [06:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [06:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [06:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [06:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [06:00:00 03/11/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 18.6667 u1: units st: NotStopd t0: [06:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [06:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [06:00:00 03/11/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [06:00:00 03/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.75 u1: L st: NotStopd t0: [06:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [06:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 880 u1: ml/B st: NotStopd t0: [06:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [06:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 178 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [06:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 350 vu: ml t0: [06:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [06:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [06:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 03/11/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 20.339 u1: units st: NotStopd t0: [07:00:00 03/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [07:00:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [07:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [07:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [07:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [07:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [07:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:00:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [07:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [07:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [07:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 03/11/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 20.339 u1: units st: NotStopd t0: [07:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [07:00:00 03/11/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:00:00 03/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.59 u1: L st: NotStopd t0: [07:00:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 680 u1: ml/B st: NotStopd t0: [07:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
tf: [08:00:00 04/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [08:00:00 04/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [07:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [07:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [07:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Other Remarks st: NotStopd t0: [08:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 03/11/2012] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Small st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 03/11/2012] id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 1 cm v2: 2 cm st: NotStopd t0: [08:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [08:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2012] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [08:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 03/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [08:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 03/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [09:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [08:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 400 vu: ml t0: [08:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [08:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 2 vu: ml t0: [09:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [09:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [09:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: RN ai: 228 vo: 1 vu: ml
t0: [07:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 10 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 03/11/2012] id: D5W 250.0ml + 2500mcghr Fentanyl Cath Lab Intake el: 1 cu: MICU-A cg: -1 ai: 228 vo: 0 st: D/C'd
tf: [15:00:00 08/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Spironolactone v1: 50 u1: mg
t0: [10:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [10:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [10:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [10:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [10:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 03/11/2012] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [10:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [10:00:00 03/11/2012] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [10:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [11:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [11:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [11:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml t0: [11:30:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [11:54:00 03/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [11:54:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [11:54:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [11:54:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [11:54:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:54:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:54:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [11:54:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:54:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:54:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [11:54:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [11:54:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [11:54:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:54:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [11:54:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:54:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:54:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [11:54:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [11:54:00 03/11/2012] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:54:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [11:54:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [11:54:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:54:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
tf: [17:00:00 13/11/2012] pt: IV Piggyback rt: IV fr: Q4H fs: 12, 16, 20, 0, 4, 8 dn: 6 m1: Penicillin G Potassium v1: 4 u1: MU m2: D5W v2: 100 u2: ml
t0: [11:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [12:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [12:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [12:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [12:00:00 03/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 121 rs: Manual st: NotStopd
t0: [12:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [13:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [13:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [13:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [13:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [13:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [13:30:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [14:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [14:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [14:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [14:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 03/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 03/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [14:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [15:00:00 03/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: on t0: [15:00:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [15:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [15:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [15:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [15:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [15:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [15:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [15:00:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [15:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [15:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [15:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [15:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [15:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [16:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [16:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [16:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 03/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [17:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [18:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [18:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [18:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [18:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [17:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [18:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [18:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [18:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [18:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 03/11/2012] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [18:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [18:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 03/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 03/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [18:00:00 03/11/2012] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [23:00:00 03/11/2012] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 1300 ap: none
t0: [18:00:00 03/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 124 rs: Manual st: NotStopd
t0: [18:37:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd
t0: [18:43:00 03/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [18:43:00 03/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd
t0: [19:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [19:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 144 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [19:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 03/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 03/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 03/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 03/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 03/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 03/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [20:00:00 03/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 03/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [20:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [20:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 03/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 03/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 03/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 03/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 03/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 03/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 03/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 03/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 03/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 03/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 03/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 03/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 03/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 03/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 03/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 03/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 03/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [19:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [20:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [20:00:00 03/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [20:00:00 03/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:00:00 03/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 03/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 03/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 03/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 03/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [20:00:00 03/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 03/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 03/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [20:00:00 03/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 03/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 03/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 03/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 03/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 03/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 565 u1: ml/B st: NotStopd t0: [20:00:00 03/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 03/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
tf: [20:00:00 04/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [21:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [21:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [22:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 03/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [22:00:00 03/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
id: Free Water Bolus el: 1 cu: MICU-A cg: RN io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric
t0: [22:00:00 03/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [22:00:00 03/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 03/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 03/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 03/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 03/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [22:00:00 03/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 03/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 03/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 03/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 03/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 03/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 03/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 03/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 03/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 03/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 03/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [22:00:00 03/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 03/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 03/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 03/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 03/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 03/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 03/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 03/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 04/11/2012] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 04/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 04/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 04/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [00:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [00:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 03/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/11/2012] tf: [14:50:00 05/11/2012] dt: 2570 id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: RN ai: 274 vo: 250 vu: ml t0: [23:00:00 03/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 03/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 04/11/2012] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 04/11/2012] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: RN ai: 274 vo: 250 vu: ml t0: [00:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [00:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [23:00:00 03/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 250 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 1040 ap: none
t0: [01:00:00 04/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [01:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [01:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [01:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 04/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [01:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [01:00:00 04/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [01:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [01:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [01:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [01:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [01:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 621 u1: ml/B st: NotStopd t0: [01:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [01:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [02:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [02:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [23:00:00 04/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 450 cv: 450 ap: none t0: [23:00:00 04/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -390 cv: -390 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 1340 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 60 cv: 2860 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 480 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 450 cv: 4840 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -390 cv: -1980 ap: none t0: [23:00:00 04/11/2012] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 450 cv: 4840 ap: none t0: [23:00:00 04/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -390 cv: 11682.2 ap: carryForward
t0: [04:44:00 04/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 149 rs: Final st: NotStopd
t0: [04:44:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.5 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 78.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.2 u1: % rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.75 u1: /mic l rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.2 rs: Final st: NotStopd
t0: [02:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [02:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [02:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 04/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 04/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [04:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [04:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [04:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [04:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [03:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 04/11/2012] id: Free Water Bolus PO/Gastric el: 1 cu: MICU-A cg: RN ai: 274 vo: 250 vu: ml t0: [04:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [04:44:00 04/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13.7 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd
t0: [04:44:00 04/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 80 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 56 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 110 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:44:00 04/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [04:45:00 04/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [04:45:00 04/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 04/11/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 31.4815 u1: units st: NotStopd t0: [05:00:00 04/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: off t0: [05:00:00 04/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [05:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [05:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [05:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 04/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [05:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 04/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [05:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [05:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [05:00:00 04/11/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 31.4815 u1: units st: NotStopd t0: [05:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [05:00:00 04/11/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [05:00:00 04/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.54 u1: L st: NotStopd t0: [05:00:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:55:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:55:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd
tf: [06:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: SW v1: 100 u1: ml m2: Potassium Chloride v2: 40 u2: mEq tf: [06:00:00 05/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [08:00:00 04/11/2012] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 32.0755 u1: units st: NotStopd t0: [08:00:00 04/11/2012] id: ATC el: 0 cu: MICU-A cg: RRT v1: off t0: [08:00:00 04/11/2012] id: high ve el: 0 cu: MICU-A cg: RRT v1: 20 t0: [08:00:00 04/11/2012] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [08:00:00 04/11/2012] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 04/11/2012] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/11/2012] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [08:00:00 04/11/2012] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 04/11/2012] id: MDI #1 (Puff/Drug) el: 0 cu: MICU-A cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 04/11/2012] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [08:00:00 04/11/2012] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2012] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/11/2012] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 04/11/2012] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 32.0755 u1: units st: NotStopd t0: [08:00:00 04/11/2012] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 04/11/2012] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.53 u1: L st: NotStopd t0: [08:00:00 04/11/2012] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2012] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 04/11/2012] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [07:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 181 u1: mmHg v2: 93 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: bath el: 0 cu: MICU-A cg: RN v1: Done t0: [08:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 04/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 04/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [08:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [09:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [09:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 120 vu: ml t0: [07:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [08:00:00 04/11/2012] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [08:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [08:00:00 04/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd
t0: [09:08:00 04/11/2012] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd t0: [09:08:00 04/11/2012] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [09:08:00 04/11/2012] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [09:08:00 04/11/2012] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [09:08:00 04/11/2012] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [09:08:00 04/11/2012] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [10:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [10:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [10:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [10:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [10:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [10:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [10:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [10:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
tf: [17:00:00 04/11/2012] pt: Unit Dose rt: NG fr: TID:PRN m1: Lactulose v1: 30 u1: ml
t0: [10:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [11:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 04/11/2012] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Extubated st: NotStopd t0: [11:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [11:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Small st: NotStopd t0: [11:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [11:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [11:00:00 04/11/2012] id: Extubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 5 st: NotStopd t0: [11:00:00 04/11/2012] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 04/11/2012] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 28 st: NotStopd t0: [11:00:00 04/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: Face Tent st: NotStopd t0: [11:00:00 04/11/2012] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RRT v1: 12 u1: lpm st: NotStopd
t0: [11:15:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [11:15:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [12:00:00 04/11/2012] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 04/11/2012] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 04/11/2012] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [12:00:00 04/11/2012] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [12:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [12:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [13:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [13:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 17.5 vu: ml t0: [13:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [12:00:00 04/11/2012] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 04/11/2012] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Moderate st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [12:00:00 04/11/2012] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 04/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [14:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 04/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [14:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [14:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 04/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [14:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [14:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 320 vu: ml
t0: [10:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [13:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [13:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Small st: NotStopd t0: [14:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [15:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [15:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 04/11/2012] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Small st: NotStopd t0: [15:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [16:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [16:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [16:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 167 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [16:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [16:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [16:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 04/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 04/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 04/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 04/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [17:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [17:00:00 04/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 04/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [17:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: Q8H:PRN m1: Lactulose v1: 30 u1: ml
t0: [18:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [18:00:00 04/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [18:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [18:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [18:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [18:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 04/11/2012] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Small st: NotStopd t0: [18:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [18:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [18:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [20:00:00 04/11/2012] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 04/11/2012] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 04/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [20:00:00 04/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 04/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 04/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2012] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 04/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 04/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/11/2012] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 04/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/11/2012] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 04/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 04/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 04/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 04/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [20:00:00 04/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 04/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 04/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [20:40:00 04/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [20:40:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd
t0: [21:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/11/2012] tf: [14:50:00 05/11/2012] dt: 1070 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 400 vu: ml t0: [21:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [21:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [22:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [22:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 90 vu: ml t0: [22:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Propranolol HCl v1: 80 u1: mg
t0: [22:00:00 04/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [22:15:00 04/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 37.9 u1: % rs: Final st: NotStopd
t0: [22:00:00 04/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [22:00:00 04/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [22:00:00 04/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 04/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [23:00:00 04/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 04/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 04/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 50 vu: ml t0: [23:00:00 04/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [22:15:00 04/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [22:15:00 04/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [22:15:00 04/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd
t0: [00:00:00 05/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [00:00:00 05/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/11/2012] id: Imp Skin Cleanse #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Drain/Amt#2 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Wound Base#2 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 05/11/2012] id: ImpSkin Wth/Lth #2 el: 0 cu: MICU-A cg: RN v1: 0.5 cm v2: 4 cm st: NotStopd t0: [00:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [00:00:00 05/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 05/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 05/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [00:00:00 05/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [00:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 380 vu: ml
t0: [01:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
tf: [00:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [13:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: ONCE fs: 1 dn: 1 m1: NS v1: 250 u1: ml m2: Magnesium Sulfate v2: 3 u2: gm tf: [13:00:00 05/11/2012] pt: IV Piggyback rt: IV fr: ONCE MR1 fs: 1 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [02:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [02:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [03:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [03:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 150 vu: ml t0: [03:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [23:00:00 05/11/2012] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 1090 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RN cv: 3000 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RN cv: 3000 ap: none
t0: [01:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [03:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml
t0: [23:00:00 05/11/2012] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RN cv: 1050 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RN cv: 2140 ap: none t0: [23:00:00 05/11/2012] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RN cv: -860 ap: none t0: [23:00:00 05/11/2012] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RN cv: 10822.2 ap: carryForward
t0: [04:00:00 05/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [04:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 125 vu: ml
t0: [04:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [04:00:00 05/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 05/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [05:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [05:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [05:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [05:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [05:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [05:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [05:00:00 05/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [05:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 05/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [05:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [05:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [05:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [05:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 05/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [05:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 05/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [05:00:00 05/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [05:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [05:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [05:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [05:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [05:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [05:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [05:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [05:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:00:00 05/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.1 u1: % rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.1 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.84 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 7.6 rs: Final st: NotStopd
t0: [05:00:00 05/11/2012] id: PT el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 31.8 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 31.8 rs: Final st: NotStopd
t0: [06:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [05:00:00 05/11/2012] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 93 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 58 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 125 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 17 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 257 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd t0: [05:00:00 05/11/2012] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd
t0: [08:00:00 05/11/2012] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/11/2012] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/11/2012] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/11/2012] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [08:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#5 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [08:00:00 05/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 05/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/11/2012] id: INV#5 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Scant st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 05/11/2012] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [08:00:00 05/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/11/2012] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2012] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 05/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/11/2012] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 05/11/2012] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/11/2012] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 05/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 05/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [08:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 05/11/2012] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 05/11/2012] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 05/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 240 vu: ml t0: [08:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [09:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [09:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 300 vu: ml t0: [09:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
tf: [13:00:00 05/11/2012] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [10:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [10:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 6 st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [10:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [10:00:00 05/11/2012] id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd t0: [10:00:00 05/11/2012] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd
t0: [08:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 05/11/2012] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [12:00:00 05/11/2012] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: Co-Wk v1: 95 rs: Manual st: NotStopd
t0: [09:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/11/2012] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2012] id: Diet Type el: 0 cu: MICU-A cg: RN v1: House st: NotStopd t0: [12:00:00 05/11/2012] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2012] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/11/2012] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 05/11/2012] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 6 st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [12:00:00 05/11/2012] id: INV Line#5SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/11/2012] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 05/11/2012] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/11/2012] id: ImpSkin Treatment #2 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 05/11/2012] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Leg, Left Upper st: NotStopd t0: [12:00:00 05/11/2012] id: Impaired Skin Site#2 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 05/11/2012] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2012] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2012] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 05/11/2012] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/11/2012] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 05/11/2012] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/11/2012] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 05/11/2012] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/11/2012] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 05/11/2012] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 05/11/2012] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2012] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2012] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/11/2012] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 05/11/2012] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 05/11/2012] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2012] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 05/11/2012] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 05/11/2012] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 05/11/2012] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 05/11/2012] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 05/11/2012] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 05/11/2012] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/11/2012] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 05/11/2012] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 05/11/2012] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 05/11/2012] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/11/2012] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/11/2012] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [12:00:00 05/11/2012] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [13:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/11/2012] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [13:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [13:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/11/2012] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2012] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml
t0: [12:37:00 05/11/2012] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [12:37:00 05/11/2012] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd
tf: [10:00:00 06/11/2012] pt: Unit Dose rt: PO fr: Q12H fs: 14, 2 dn: 2 m1: Ciprofloxacin HCl v1: 500 u1: mg
t0: [14:00:00 05/11/2012] id: bath el: 0 cu: MICU-A cg: RN v1: done t0: [14:00:00 05/11/2012] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/11/2012] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/11/2012] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/11/2012] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2012] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2012] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 05/11/2012] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:00:00 05/11/2012] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 6 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#5 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 6 st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#5 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [14:00:00 05/11/2012] id: INV Line#5InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 30 st: NotStopd t0: [14:00:00 05/11/2012] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 05/11/2012] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 05/11/2012] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2012] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82.3333 u1: mmHg st: NotStopd t0: [14:00:00 05/11/2012] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [14:00:00 05/11/2012] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 05/11/2012] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 05/11/2012] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/11/2012] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 05/11/2012] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 05/11/2012] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 05/11/2012] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2012] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 300 vu: ml t0: [14:00:00 05/11/2012] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 100 vu: ml t0: [14:00:00 05/11/2012] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 05/11/2012] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
tf: [14:00:00 06/11/2012] pt: Unit Dose rt: PO fr: ONCE fs: 15 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
tf: [15:00:00 08/11/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Famotidine v1: 20 u1: mg
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid v1: 500 u1: mg tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins v1: 1 u1: CAP tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Zinc Sulfate v1: 220 u1: mg
tf: [10:00:00 07/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
tf: [02:00:00 10/11/2012] pt: Unit Dose rt: OU fr: PRN m1: Artificial Tears Preserv. Free v1: 1-2 u1: DROP tf: [17:00:00 13/11/2012] pt: Unit Dose rt: OU fr: PRN m1: Artificial Tears Preserv. Free v1: 1-2 u1: DROP
tf: [14:00:00 11/11/2012] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
tf: [17:00:00 13/11/2012] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Promethazine HCl v1: 12.5 u1: mg
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 4561 ds: 3 ld: ESOPH VARICES W/O BLEED dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 25000 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 25072 ds: 7 ld: DIABETES W/PERIPHERAL CI dd: 5715 ds: 8 ld: CIRRHOSIS OF LIVER NOS dd: 78605 ds: 4 ld: SHORTNESS OF BREATH dd: 78609 ds: 5 ld: RESPIRATORY ABNORM NEC dd: V1509 ds: 9 ld: OTH ALLER NON MEDICINAL dd: V7281 ds: 6 ld: PRE-OP CARDIOVASCUL EXAM dd: V7282 ds: 1 ld: PRE-OP RESPIRATORY EXAM
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07032 ds: 2 ld: CHRON VIR HEP B W/O COMA dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 25080 ds: 1 ld: DIABETES W/OTH SPEC MANI dd: 2512 ds: 1 ld: HYPOGLYCEMIA NOS dd: 2875 ds: 5 ld: THROMBOCYTOPENIA NOS dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 45621 ds: 7 ld: ESOPH VARICE OTH DIS NOS dd: 5715 ds: 4 ld: CIRRHOSIS OF LIVER NOS dd: 79431 ds: 2 ld: ABNORM ELECTROCARDIOGRAM
dd: 5716 ds: 2 ld: BILIARY CIRRHOSIS dd: 99662 ds: 1 ld: INFECT DUE TO VASCULAR G
dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT
dd: V7283 ds: 1 ld: OTHER SPEC PRE-OP EXAM
dd: 07052 ds: 5 ld: HEP DLT W/O ACT HEP B,CO dd: 07054 ds: 4 ld: CHR HEPAT C W/O HEP COMA dd: 07999 ds: 1 ld: UNSPEC VIRAL INFECTIONS dd: 25000 ds: 7 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER dd: 99674 ds: 3 ld: COMPL FROM OTH VASCULAR dd: V641 ds: 6 ld: NO PROC/CONTRAINDICATION
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 07032 ds: 4 ld: CHRON VIR HEP B W/O COMA dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 25000 ds: 6 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 99674 ds: 1 ld: COMPL FROM OTH VASCULAR dd: E8782 ds: 5 ld: ABN REACT-ANASTOM/GRAFT
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 2572 ds: 3 ld: TESTICULAR HYPOFUNC NEC
dd: 25000 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 4 ld: HYPERTENSION NOS dd: 4299 ds: 5 ld: HEART DISEASE NOS dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S
dd: 07032 ds: 4 ld: CHRON VIR HEP B W/O COMA dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 25000 ds: 5 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 5712 ds: 3 ld: ALCOHOL CIRRHOSIS LIVER dd: 5750 ds: 1 ld: ACUTE CHOLECYSTITIS
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS
dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 2 ld: HYPERTENSION NOS
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS
dd: 25000 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S
dd: 07051 ds: 1 ld: ACUTE HEPATITIS C W/OUT dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER
dd: 28260 ds: 4 ld: SICKLE-CELL DISEASE, UNS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS dd: 99674 ds: 2 ld: COMPL FROM OTH VASCULAR dd: V7284 ds: 1 ld: PRE-OP EXAM, UNSPECIFIED
dd: 07070 ds: 2 ld: UNSPECIFIED VIRAL HEPATI dd: 25000 ds: 6 ld: DIABETES MELLITUS W/OUT dd: 3051 ds: 8 ld: TOBACCO USE DISORDER dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 45621 ds: 3 ld: ESOPH VARICE OTH DIS NOS dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS dd: 78900 ds: 4 ld: ABDOMIN PAIN UNSPEC SITE dd: V1279 ds: 7 ld: PERS HIST UNSPC URIN DIS
dd: 25001 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25060 ds: 4 ld: DIABETES W/NEUROLOGICAL dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS dd: 7862 ds: 6 ld: COUGH dd: V0481 ds: 5 ld: NEED FOR PROPHYLACTIC VA dd: V1201 ds: 8 ld: PERS HIST TUBERCULOSIS dd: V1279 ds: 7 ld: PERS HIST UNSPC URIN DIS
dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 7863 ds: 4 ld: HEMOPTYSIS dd: 78650 ds: 1 ld: CHEST PAIN NOS dd: 78652 ds: 3 ld: PAINFUL RESPIRATION
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA dd: 25060 ds: 2 ld: DIABETES W/NEUROLOGICAL
dd: 7862 ds: 1 ld: COUGH
dd: 51889 ds: 1 ld: OTHER LUNG DISEASE NEC
dd: 5997 ds: 2 ld: HEMATURIA dd: 78901 ds: 1 ld: ABDOMIN PAIN RIGHT UPPER
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 7862 ds: 1 ld: COUGH
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 7862 ds: 1 ld: COUGH
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT
dd: 25001 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 25092 ds: 2 ld: DIABETES W/UNSPEC COMPLI dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 2738 ds: 3 ld: DIS PLAS PROTEIN MET NEC
dd: 25001 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 2 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 1 ld: HYPERTENSION NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS
dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 4292 ds: 2 ld: ASCVD
dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 4292 ds: 2 ld: ASCVD
dd: 78605 ds: 2 ld: SHORTNESS OF BREATH dd: 7862 ds: 1 ld: COUGH
dd: 7802 ds: 1 ld: SYNCOPE AND COLLAPSE dd: 7862 ds: 3 ld: COUGH dd: 78900 ds: 2 ld: ABDOMIN PAIN UNSPEC SITE
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 27800 ds: 4 ld: OBESITY, UNSPECIFIED dd: 4019 ds: 3 ld: HYPERTENSION NOS
dd: 07054 ds: 1 ld: CHR HEPAT C W/O HEP COMA
dd: 25000 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25000 ds: 5 ld: DIABETES MELLITUS W/OUT dd: 25001 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 27800 ds: 2 ld: OBESITY, UNSPECIFIED dd: 27800 ds: 6 ld: OBESITY, UNSPECIFIED dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 78900 ds: 1 ld: ABDOMIN PAIN UNSPEC SITE dd: 78907 ds: 4 ld: ABDOMIN PAIN GENERALIZED dd: V427 ds: 7 ld: LIVER TRANSPLANT STATUS
dd: 5715 ds: 2 ld: CIRRHOSIS OF LIVER NOS dd: 57420 ds: 1 ld: CHOLELITHIASIS NOS
dd: 07032 ds: 4 ld: CHRON VIR HEP B W/O COMA dd: 07054 ds: 3 ld: CHR HEPAT C W/O HEP COMA dd: 25000 ds: 7 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 5712 ds: 2 ld: ALCOHOL CIRRHOSIS LIVER dd: 5715 ds: 5 ld: CIRRHOSIS OF LIVER NOS dd: 99674 ds: 1 ld: COMPL FROM OTH VASCULAR dd: E8782 ds: 6 ld: ABN REACT-ANASTOM/GRAFT
dd: 25000 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 25001 ds: 6 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 5 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 3 ld: PURE HYPERCHOLESTEROLEM dd: 2859 ds: 7 ld: ANEMIA NOS dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS
dd: 25000 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 5 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 3 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS dd: 78900 ds: 6 ld: ABDOMIN PAIN UNSPEC SITE dd: V1279 ds: 7 ld: PERS HIST UNSPC URIN DIS
dd: 5739 ds: 3 ld: LIVER DISORDER NOS dd: 7931 ds: 4 ld: ABN FINDINGS-LUNG FIELD dd: V7281 ds: 1 ld: PRE-OP CARDIOVASCUL EXAM dd: V7283 ds: 2 ld: OTHER SPEC PRE-OP EXAM
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: 5712 ds: 4 ld: ALCOHOL CIRRHOSIS LIVER
dd: 4242 ds: 1 ld: NONRHEUM TRICUSP VAL DIS
dd: 07054 ds: 2 ld: CHR HEPAT C W/O HEP COMA dd: V0481 ds: 1 ld: NEED FOR PROPHYLACTIC VA
dd: 4168 ds: 2 ld: CHR PULMON HEART DIS NEC dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS dd: V149 ds: 3 ld: HX-DRUG ALLERGY NOS
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25092 ds: 1 ld: DIABETES W/UNSPEC COMPLI dd: 2859 ds: 4 ld: ANEMIA NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS
dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 2 ld: HYPERTENSION NOS dd: V6889 ds: 3 ld: ADMINISTRTVE ENCOUNT NEC
dd: 25001 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 2859 ds: 4 ld: ANEMIA NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS
dd: 25002 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 1 ld: HYPERTENSION NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS dd: V427 ds: 4 ld: LIVER TRANSPLANT STATUS
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25001 ds: 4 ld: DIABETES MELLITUS W/OUT dd: 2859 ds: 3 ld: ANEMIA NOS dd: 5715 ds: 1 ld: CIRRHOSIS OF LIVER NOS
dd: 5712 ds: 1 ld: ALCOHOL CIRRHOSIS LIVER
dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25092 ds: 4 ld: DIABETES W/UNSPEC COMPLI dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS dd: 7862 ds: 2 ld: COUGH dd: V7283 ds: 5 ld: OTHER SPEC PRE-OP EXAM
dd: 25002 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 1 ld: HYPERTENSION NOS
dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT
dd: 25001 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 2761 ds: 2 ld: HYPOSMOLALITY dd: 4019 ds: 1 ld: HYPERTENSION NOS
dd: 25001 ds: 3 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 1 ld: HYPERTENSION NOS
dd: 25000 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 4019 ds: 4 ld: HYPERTENSION NOS dd: 5715 ds: 3 ld: CIRRHOSIS OF LIVER NOS
dd: 5718 ds: 1 ld: CHRONIC LIVER DIS NEC dd: 5759 ds: 2 ld: DIS OF GALLBLADDER NOS
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 2720 ds: 1 ld: PURE HYPERCHOLESTEROLEM dd: 2724 ds: 4 ld: HYPERLIPIDEMIA NEC/NOS dd: 4019 ds: 3 ld: HYPERTENSION NOS dd: V851 ds: 5 ld: BODY MASS INDEX 19-24, A
dd: 25000 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 2 ld: DIABETES MELLITUS W/OUT
dd: 07032 ds: 5 ld: CHRON VIR HEP B W/O COMA dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25080 ds: 1 ld: DIABETES W/OTH SPEC MANI dd: 2724 ds: 8 ld: HYPERLIPIDEMIA NEC/NOS dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 4659 ds: 1 ld: ACUTE URI NOS dd: 5712 ds: 4 ld: ALCOHOL CIRRHOSIS LIVER dd: 7863 ds: 2 ld: HEMOPTYSIS dd: V1582 ds: 9 ld: HISTORY OF TOBACCO USE dd: V4589 ds: 6 ld: POSTSURGICAL STATES NEC dd: V5867 ds: 3 ld: LONG-TERM (CURRENT) USE
dd: 25000 ds: 2 ld: DIABETES MELLITUS W/OUT dd: 25002 ds: 1 ld: DIABETES MELLITUS W/OUT dd: 49392 ds: 3 ld: ASTHMA, UNPSEC W ACUTE E
dd: 07051 ds: 1 ld: ACUTE HEPATITIS C W/OUT