This log is also available as text (s14204.txt) and as a (binary) annotation file (s14204.log).
Generated: Monday, 07-Jun-2010 13:20:29 EDT
(All dates below are surrogates.)
t0: [09:34:56 29/01/2013] tf: [08:21:40 31/01/2013] id: a41882 [view]
t0: [17:05:59 29/01/2013] tf: [17:17:59 08/02/2013] id: a41882n [view]
dd: V723 ds: 1 ld: GYNECOLOGIC EXAMINATION
dd: 71596 ds: 1 ld: OSTEOARTHROS NOS-L/LEG
dd: 7804 ds: 1 ld: DIZZINESS AND GIDDINESS
dd: 2859 ds: 2 ld: ANEMIA NOS dd: 4019 ds: 4 ld: HYPERTENSION NOS dd: 5849 ds: 1 ld: ACUTE RENAL FAILURE NOS dd: 7821 ds: 3 ld: NONSPECIF SKIN ERUPT NEC
dd: 2761 ds: 9 ld: HYPOSMOLALITY dd: 2765 ds: 8 ld: HYPOVOLEMIA dd: 5121 ds: 6 ld: IATROGENIC PNEUMOTHORAX dd: 515 ds: 5 ld: POSTINFLAM PULM FIBROSIS dd: 58089 ds: 1 ld: ACUTE NEPHRITIS NEC dd: 5849 ds: 4 ld: ACUTE RENAL FAILURE NOS dd: 5990 ds: 7 ld: URIN TRACT INFECTION NOS dd: 6930 ds: 2 ld: DRUG DERMATITIS NOS dd: E9310 ds: 3 ld: ADV EFF SULFONAMIDES
tf: [20:33:00 14/10/2013] dt: 15445 cu: MICU-A di: No Disch Status
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: [03:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [03:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [03:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 04/10/2013] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 25 st: NotStopd t0: [03:00:00 04/10/2013] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [03:00:00 04/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [03:00:00 04/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [03:00:00 04/10/2013] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [03:00:00 04/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [03:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [03:00:00 04/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Non-Rebreather st: NotStopd t0: [03:00:00 04/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 0.1 u1: lpm st: NotStopd t0: [03:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [03:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 38.7778 u1: Deg. C st: NotStopd t0: [03:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 101.8 u1: Deg. F st: NotStopd t0: [03:00:00 04/10/2013] id: BSA - English el: 0 cu: MICU-A cg: -1 v1: 1.13604 u1: m2 st: NotStopd t0: [03:00:00 04/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: -1 v1: 1.32884 u1: m2 st: NotStopd t0: [03:00:00 04/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd
t0: [03:00:00 04/10/2013] tf: [20:33:00 14/10/2013] dt: 15453 id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 140 vu: ml
t0: [03:00:00 04/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [03:00:00 04/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [03:00:00 04/10/2013] id: Family Communication el: 0 cu: MICU-A cg: -1 v1: Family Visited st: NotStopd t0: [03:00:00 04/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [03:00:00 04/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [03:00:00 04/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [03:00:00 04/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [03:00:00 04/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [03:00:00 04/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 04/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 04/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [03:00:00 04/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [03:00:00 04/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [03:00:00 04/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [03:00:00 04/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [03:00:00 04/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [03:00:00 04/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [03:00:00 04/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [03:00:00 04/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 04/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [03:00:00 04/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [03:00:00 04/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [03:00:00 04/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Walks Occasional st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [03:00:00 04/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 18 u1: number st: NotStopd t0: [03:00:00 04/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: No Impairment st: NotStopd
t0: [03:00:00 04/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 15 degrees st: NotStopd t0: [03:00:00 04/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [06:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [06:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 100 u1: BPM st: NotStopd t0: [06:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [06:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 74.6667 u1: mmHg st: NotStopd t0: [06:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [06:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [06:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [06:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Axillary st: NotStopd t0: [06:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [06:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [06:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 40 vu: ml
t0: [06:00:00 04/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 153 rs: Manual st: NotStopd
t0: [05:33:00 04/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.8 u1: % rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 292 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.93 u1: /mic l rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.8 rs: Final st: NotStopd
t0: [05:33:00 04/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 28 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [05:33:00 04/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd
t0: [08:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 04/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/10/2013] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 04/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 04/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [08:00:00 04/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [08:00:00 04/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.1 u1: lpm st: NotStopd t0: [08:00:00 04/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 04/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [08:00:00 04/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 04/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 04/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [08:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [08:00:00 04/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 04/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 04/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Walks Occasional st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Adequate st: NotStopd t0: [08:00:00 04/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 18 u1: number st: NotStopd t0: [08:00:00 04/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [09:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [09:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [09:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [09:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [09:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [10:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
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
t0: [11:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [11:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [11:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [12:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 04/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [12:00:00 04/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.1 u1: lpm st: NotStopd t0: [12:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [12:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/10/2013] id: nsbolus Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [13:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [13:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [13:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [13:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [13:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [13:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [13:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/10/2013] tf: [13:00:00 04/10/2013] dt: 60 id: nsbolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml t0: [13:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [13:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [08:00:00 04/10/2013] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [08:00:00 04/10/2013] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 04/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 04/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/10/2013] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [14:00:00 04/10/2013] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 04/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 04/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 04/10/2013] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 04/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [14:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 04/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [15:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [15:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [15:00:00 04/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 04/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:00:00 04/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [15:00:00 04/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [15:00:00 04/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 04/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [15:00:00 04/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [15:00:00 04/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 04/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:00:00 04/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 04/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 04/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 04/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [15:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 04/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 04/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 04/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 04/10/2013] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [16:00:00 04/10/2013] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 04/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 04/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 04/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 04/10/2013] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 04/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 04/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 04/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 04/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [14:00:00 04/10/2013] tf: [20:33:00 14/10/2013] dt: 14793 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [15:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
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
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 4 ru: ml/hr
id: N/A el: 1 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [16:16:00 04/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [16:16:00 04/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [16:16:00 04/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [16:16:00 04/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [16:16:00 04/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [16:16:00 04/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [16:16:00 04/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [16:16:00 04/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [16:16:00 04/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [16:16:00 04/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [16:16:00 04/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [16:16:00 04/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [16:16:00 04/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [16:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [16:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:05:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:05:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:10:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:10:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:10:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:10:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:10:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [16:10:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [16:10:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:10:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:10:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:10:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [16:15:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [16:15:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [16:15:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:15:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:15:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:15:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [16:00:00 04/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [16:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [16:00:00 04/10/2013] tf: [20:33:00 14/10/2013] dt: 14673 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 9.95619 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:10:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 39.8248 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:20:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:20:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:20:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:20:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:20:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [16:20:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [16:20:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:20:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:20:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [16:20:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:25:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:25:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:25:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:25:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:25:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:25:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.6667 u1: mmHg st: NotStopd t0: [16:25:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:25:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:25:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:25:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:30:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:30:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:30:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:30:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:30:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:35:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:35:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:35:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [16:35:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:35:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:35:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [16:35:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:35:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:35:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:35:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:40:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:40:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:40:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:40:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:40:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:40:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [16:40:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:40:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:40:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:40:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:45:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:45:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:45:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:45:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [16:45:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:45:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:45:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:45:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:50:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:50:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:50:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:50:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:50:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:50:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [16:50:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:50:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:50:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:50:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:55:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:55:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:55:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:55:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:55:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:55:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [16:55:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [16:55:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:55:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:55:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [17:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [17:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [17:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [17:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:10:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:10:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:10:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [17:10:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:10:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [17:10:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [17:10:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [17:10:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:10:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:10:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [17:00:00 04/10/2013] tf: [18:00:00 04/10/2013] dt: 60 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 21.5 vu: ml t0: [17:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [16:20:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:25:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:35:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:40:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:45:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:50:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:55:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 64.7153 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 04/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Bronchoscopy st: NotStopd
t0: [18:00:00 04/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [17:10:00 04/10/2013] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 04/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [17:00:00 04/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.1 u1: lpm st: NotStopd
t0: [17:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [17:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [18:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [18:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [18:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml
t0: [19:00:00 04/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [19:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 86 u1: BPM st: NotStopd t0: [19:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 04/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [19:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [19:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [19:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [19:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [19:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [19:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 1 u1: torr st: NotStopd t0: [20:00:00 04/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 04/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [20:00:00 04/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [20:00:00 04/10/2013] id: IV #1 D/C Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [20:00:00 04/10/2013] id: IV #1 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 25 st: NotStopd t0: [20:00:00 04/10/2013] id: IV #1 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 04/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [20:00:00 04/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 04/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 04/10/2013] id: IV Site Appear #1 el: 0 cu: MICU-A cg: -1 v1: Infiltrated st: NotStopd t0: [20:00:00 04/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [20:00:00 04/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 04/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 04/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 04/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [20:00:00 04/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 04/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 v1: Non-Rebreather st: NotStopd t0: [20:00:00 04/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 v1: 10 u1: lpm st: NotStopd t0: [20:00:00 04/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 04/10/2013] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [20:00:00 04/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 04/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 04/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [20:00:00 04/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [20:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [20:00:00 04/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 04/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [20:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [20:00:00 04/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [20:00:00 04/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 04/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 04/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [20:00:00 04/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 04/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 16 u1: number st: NotStopd t0: [20:00:00 04/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: No Impairment st: NotStopd
t0: [20:00:00 04/10/2013] tf: [08:00:00 05/10/2013] dt: 720 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [20:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [20:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 95 vu: ml
t0: [21:00:00 04/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [21:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 81 u1: BPM st: NotStopd t0: [21:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 04/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [21:00:00 04/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [21:00:00 04/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [21:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [21:00:00 04/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [21:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [21:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 25 u1: BPM st: NotStopd t0: [21:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [21:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 75 vu: ml
t0: [22:00:00 04/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 04/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 04/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [22:00:00 04/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 66 u1: BPM st: NotStopd t0: [22:00:00 04/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 04/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 136 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 04/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [22:00:00 04/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [22:00:00 04/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [22:00:00 04/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 30 u1: BPM st: NotStopd t0: [22:00:00 04/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 90 u1: % st: NotStopd t0: [22:00:00 04/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [22:00:00 04/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [22:00:00 04/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [22:00:00 04/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [22:00:00 04/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [23:00:00 04/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: -1 cv: 0 ap: none t0: [23:00:00 04/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: -1 cv: 845 ap: none t0: [23:00:00 04/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: -1 cv: 845 ap: none
t0: [22:00:00 04/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml
t0: [23:00:00 04/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 60 ap: none
t0: [23:00:00 04/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [00:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [00:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [00:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 66.9 u1: kg st: NotStopd t0: [00:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [00:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [00:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [00:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [00:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [22:00:00 04/10/2013] tf: [08:00:00 05/10/2013] dt: 600 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 05/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 04/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 04/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1021.5 ap: none t0: [23:00:00 04/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2081.5 ap: none t0: [23:00:00 04/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1236.5 ap: none t0: [23:00:00 04/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 215 ap: none t0: [23:00:00 05/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 05/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 05/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2075 ap: none t0: [23:00:00 05/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2525 ap: none t0: [23:00:00 05/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1160 ap: none t0: [23:00:00 05/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1365 ap: none t0: [23:00:00 05/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1160 ap: none t0: [23:00:00 05/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1580 ap: none
t0: [02:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [02:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 69 u1: BPM st: NotStopd t0: [02:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 73.6667 u1: mmHg st: NotStopd t0: [02:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [02:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [02:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [02:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 30 vu: ml t0: [02:00:00 05/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [02:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 85 vu: ml
t0: [03:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [03:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [03:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [03:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [03:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 05/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [04:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 67 u1: BPM st: NotStopd t0: [04:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [04:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [04:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: -1 v1: 9 v2: 28 st: NotStopd t0: [04:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Alert st: NotStopd t0: [04:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 69.3333 u1: mmHg st: NotStopd t0: [04:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [04:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 66.9 u1: kg st: NotStopd t0: [04:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [04:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [04:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [04:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [04:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [04:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Calm st: NotStopd t0: [04:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 05/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 05/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd
t0: [04:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 60 vu: ml t0: [04:00:00 05/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 200 vu: ml t0: [04:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 80 vu: ml
t0: [02:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [02:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [02:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [04:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [04:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [05:42:00 05/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.1 u1: % rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 250 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.47 u1: /mic l rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd
t0: [05:00:00 05/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [06:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [06:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [06:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [06:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [06:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 05/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [06:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [06:00:00 05/10/2013] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.22353 u1: m2 st: NotStopd t0: [06:00:00 05/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.42875 u1: m2 st: NotStopd t0: [06:00:00 05/10/2013] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 05/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd
t0: [05:42:00 05/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 44 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] 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: [05:42:00 05/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:42:00 05/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [08:05:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:05:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:05:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:05:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:05:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:05:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:05:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:05:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:05:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:05:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [08:05:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [08:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 79 u1: % st: NotStopd t0: [08:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:05:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 82 u1: % st: NotStopd
t0: [08:10:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:10:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:10:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:10:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:10:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:10:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:10:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [08:10:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:10:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:10:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:10:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [08:10:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:15:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:15:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:15:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:15:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:15:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:15:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [08:15:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:15:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:15:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:15:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 82 u1: % st: NotStopd t0: [08:15:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:20:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:20:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:20:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:20:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:20:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:20:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:20:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:20:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:20:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:20:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 38 u1: BPM st: NotStopd t0: [08:20:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 78 u1: % st: NotStopd t0: [08:20:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [08:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 05/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 05/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Confused st: NotStopd t0: [08:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 05/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:15:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [08:15:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:25:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:25:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:25:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:25:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:25:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:25:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:25:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:25:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [08:25:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:25:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:25:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:25:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:25:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [08:25:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 0 vu: ml t0: [08:00:00 05/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [08:00:00 05/10/2013] tf: [10:00:00 06/10/2013] dt: 1560 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 75 ru: ml/hr
id: D5/.45NS el: 1 cu: MICU-A cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Infusion
t0: [08:00:00 05/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN st: NotStopd t0: [08:00:00 05/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [09:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [09:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [09:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [09:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [09:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [09:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 05/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [10:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [10:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [10:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [10:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [10:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [10:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN st: NotStopd t0: [10:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 05/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 05/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [10:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [11:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [11:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [11:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [11:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Not Done v2: Done st: NotStopd t0: [12:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [12:00:00 05/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [12:00:00 05/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 05/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [12:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [12:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [12:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [12:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 05/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 05/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [12:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 05/10/2013] id: ROM el: 0 cu: MICU-A cg: RN v1: Active v2: All Extremities st: NotStopd t0: [12:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 05/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [12:00:00 05/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [12:00:00 05/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [13:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [13:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 85.6667 u1: mmHg st: NotStopd t0: [13:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [13:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/10/2013] tf: [16:00:00 05/10/2013] dt: 420 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [09:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml nb: 1 t0: [10:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [12:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [12:00:00 05/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 225 vu: ml t0: [12:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [05:42:00 05/10/2013] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 400 rs: Final st: NotStopd
t0: [14:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [14:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [14:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [14:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [14:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [14:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [14:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [14:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [15:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [15:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [15:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [14:00:00 05/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [14:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [14:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [16:00:00 05/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Not Done v2: Not Done st: NotStopd t0: [16:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [16:00:00 05/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [16:00:00 05/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 05/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [16:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [16:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [16:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 05/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [16:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 05/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 05/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [16:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [16:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 0 vu: ml t0: [16:00:00 05/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [16:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [16:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [13:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [17:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [17:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [17:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [17:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [17:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [17:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [18:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [18:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [18:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [18:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [18:00:00 05/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [18:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 05/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [18:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 05/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [18:00:00 05/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [18:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 0 vu: ml t0: [18:00:00 05/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [18:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [18:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [20:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [20:00:00 05/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [20:00:00 05/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 05/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [20:00:00 05/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [20:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 05/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 05/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 05/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [20:00:00 05/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 05/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [20:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 05/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [20:00:00 05/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [20:00:00 05/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [20:00:00 05/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 05/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [20:00:00 05/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 05/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [20:00:00 05/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 05/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 05/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [20:00:00 05/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 05/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 05/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [20:00:00 05/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [20:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 05/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [20:00:00 05/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 05/10/2013] tf: [20:33:00 14/10/2013] dt: 12993 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [20:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml nb: 1 t0: [20:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 05/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 450 ap: none
t0: [21:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [21:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [21:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [21:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 05/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [22:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [22:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 05/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [22:00:00 05/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [22:00:00 05/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [22:00:00 05/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [22:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [22:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [22:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/10/2013] tf: [08:00:00 06/10/2013] dt: 600 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 05/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [22:00:00 05/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [22:00:00 05/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 05/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 05/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [22:00:00 05/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 05/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 05/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd
t0: [23:00:00 05/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 05/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 05/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 05/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 05/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [23:00:00 05/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 05/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 05/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 05/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd
t0: [00:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [00:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [00:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [00:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 06/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [00:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [00:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [00:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [00:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [00:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [00:00:00 06/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [00:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml nb: 1 t0: [00:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [23:00:00 06/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 06/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 255 ap: none t0: [23:00:00 06/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 705 ap: none t0: [23:00:00 06/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2140 ap: none t0: [23:00:00 06/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -1435 ap: none t0: [23:00:00 06/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2140 ap: none t0: [23:00:00 06/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 145 ap: none
t0: [01:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [01:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [01:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [01:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [01:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [01:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [02:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [02:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [02:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [02:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [02:00:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [02:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [02:00:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [02:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [02:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [03:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [03:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [03:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [03:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [03:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [04:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [04:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [04:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 06/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.6667 u1: mmHg st: NotStopd t0: [04:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [04:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [04:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [04:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [04:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [04:00:00 06/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd
t0: [04:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [05:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [05:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [05:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [06:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [06:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [06:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:00:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:00:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [06:00:00 06/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [06:00:00 06/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v2: None st: NotStopd t0: [06:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:54:00 06/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.5 u1: % rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 276 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.72 u1: /mic l rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20.1 rs: Final st: NotStopd
t0: [06:30:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [06:30:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [06:30:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:30:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:30:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [06:30:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [06:30:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:30:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [06:30:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [06:30:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [06:30:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:54:00 06/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 133 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.5 rs: Final st: NotStopd t0: [05:54:00 06/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 140 rs: Final st: NotStopd
t0: [08:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [08:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [08:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [08:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [08:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [08:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [08:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [08:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [08:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [08:00:00 06/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 06/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 06/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 06/10/2013] id: ROM el: 0 cu: MICU-A cg: RN v1: Passive v2: Both Arms st: NotStopd t0: [08:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 06/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 06/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 06/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [09:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [09:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [09:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [08:00:00 06/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml
t0: [10:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [10:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [10:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [10:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [10:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [10:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [10:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [10:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [10:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [10:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [10:00:00 06/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [10:00:00 06/10/2013] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [10:00:00 06/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [10:00:00 06/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [10:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 06/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 06/10/2013] id: ROM el: 0 cu: MICU-A cg: RN v1: Active v2: Both Legs st: NotStopd t0: [10:00:00 06/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 06/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [11:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [11:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Not Done v2: Not Done st: NotStopd t0: [12:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [12:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [12:00:00 06/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 06/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [12:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [12:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [12:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 06/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [12:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [12:00:00 06/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 06/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [12:00:00 06/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 06/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 30 vu: ml t0: [12:00:00 06/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [12:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [11:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [12:00:00 06/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [13:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [13:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [13:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [13:00:00 06/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Urine Culture st: NotStopd t0: [13:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 06/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 06/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [14:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [14:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [14:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [14:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [14:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [14:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [15:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [15:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Not Done st: NotStopd t0: [16:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [16:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [16:00:00 06/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 06/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 06/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [16:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [16:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [16:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [16:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [16:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 06/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [16:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 06/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [16:00:00 06/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [16:00:00 06/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [16:00:00 06/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [17:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [17:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [17:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [17:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [17:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [18:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [18:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [18:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [18:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [18:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [18:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [18:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [14:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [16:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [16:00:00 06/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 0 vu: ml t0: [16:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [18:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [18:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [20:00:00 06/10/2013] id: O2 Delivery Device#2 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 06/10/2013] id: O2 Flow (lpm) #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [19:00:00 06/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [20:00:00 06/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonproductive st: NotStopd t0: [20:00:00 06/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [20:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 06/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [20:00:00 06/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 06/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [20:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 06/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 06/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 06/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 06/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 06/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 06/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 06/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 06/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 06/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 06/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [20:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [20:00:00 06/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 06/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 06/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 06/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [20:00:00 06/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 06/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 06/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 06/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 06/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 06/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 06/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [20:00:00 06/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [20:00:00 06/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 06/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 06/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [20:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [22:00:00 06/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 06/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 06/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [22:00:00 06/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [22:00:00 06/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 06/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 06/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 06/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [22:00:00 06/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [22:00:00 06/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 06/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [22:00:00 06/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 06/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 450 ap: none
t0: [22:00:00 06/10/2013] tf: [20:33:00 14/10/2013] dt: 11433 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [00:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [00:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonproductive st: NotStopd t0: [00:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [00:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [00:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 07/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 07/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 87.6667 u1: mmHg st: NotStopd t0: [00:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [00:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [00:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [00:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 07/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 07/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:00:00 07/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [00:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 07/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 07/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [00:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [00:00:00 07/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [23:00:00 07/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 07/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 760 ap: none t0: [23:00:00 07/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -285 ap: none t0: [23:00:00 07/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 760 ap: none t0: [23:00:00 07/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -140 ap: none
t0: [23:00:00 06/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [01:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [02:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [02:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [02:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [02:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [02:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [02:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [04:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [04:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [04:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [04:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [04:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 07/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [04:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [04:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [04:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [04:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 07/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 07/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 76.4 u1: kg st: NotStopd t0: [04:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 07/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 07/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 07/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Small st: NotStopd t0: [04:00:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 07/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 07/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [04:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 07/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [04:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:00:00 07/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd
t0: [05:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd
t0: [05:49:00 07/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.1 u1: % rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 207 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd
t0: [05:49:00 07/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [05:49:00 07/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 139 rs: Final st: NotStopd
t0: [05:49:00 07/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [06:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [06:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [06:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [06:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [06:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 10 u1: lpm st: NotStopd t0: [06:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [08:00:00 07/10/2013] id: Chest PT R/L el: 0 cu: MICU-A cg: RN v1: Done v2: Done st: NotStopd t0: [08:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [08:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [08:00:00 07/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [08:00:00 07/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 07/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 07/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [08:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: Infiltrated st: NotStopd t0: [08:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 07/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [08:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 07/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 07/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 07/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [08:00:00 07/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 07/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 07/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 07/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml t0: [08:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 55 vu: ml
t0: [09:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [09:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [09:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [09:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [10:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [10:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [11:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [11:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [12:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 07/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [12:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/10/2013] id: IV #2 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [12:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [12:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [12:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [12:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [12:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [12:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [12:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [11:00:00 07/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [11:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [13:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 51 u1: BPM st: NotStopd t0: [13:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 137 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 79.6667 u1: mmHg st: NotStopd t0: [13:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [13:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 25 vu: ml
t0: [14:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [14:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 138 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 80.6667 u1: mmHg st: NotStopd t0: [14:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 45 vu: ml
t0: [10:00:00 07/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [13:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 07/10/2013] id: Cough/Deep Breathe el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [15:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [15:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [15:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [15:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [15:00:00 07/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 60 vu: ml
t0: [15:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [15:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 30 vu: ml
t0: [16:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 80 u1: BPM st: NotStopd t0: [16:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [17:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 07/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [17:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [17:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [16:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonproductive st: NotStopd t0: [16:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [16:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [16:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Dentures st: NotStopd t0: [16:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [16:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 07/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [17:00:00 07/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [17:00:00 07/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 07/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [17:00:00 07/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 07/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 07/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 07/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 07/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:00:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [17:00:00 07/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd
t0: [17:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [18:25:00 07/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [18:25:00 07/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [18:25:00 07/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [18:25:00 07/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [18:25:00 07/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [18:25:00 07/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [18:25:00 07/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [18:25:00 07/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [18:25:00 07/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [18:25:00 07/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [18:25:00 07/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [18:25:00 07/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [18:25:00 07/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [18:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [18:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [21:00:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Congested st: NotStopd t0: [21:00:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Clear Liquid st: NotStopd t0: [21:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [21:00:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 07/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [21:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [21:00:00 07/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [21:00:00 07/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [21:00:00 07/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [21:00:00 07/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [21:00:00 07/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 07/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 07/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [21:00:00 07/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [21:00:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [21:00:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [21:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [21:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [21:00:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 07/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 07/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [21:00:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [21:00:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [21:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 07/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [21:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [21:00:00 07/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [21:00:00 07/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [21:00:00 07/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [21:00:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 07/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [21:00:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [21:00:00 07/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [21:00:00 07/10/2013] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 75 vu: ml t0: [21:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 07/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none
t0: [22:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [22:00:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [22:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [23:00:00 07/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none t0: [23:00:00 07/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 475 ap: none
t0: [23:00:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:00:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [23:00:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:15:00 07/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [23:15:00 07/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Product/Congest st: NotStopd t0: [23:15:00 07/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [23:15:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:15:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:15:00 07/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:15:00 07/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [23:15:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:15:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 07/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [23:15:00 07/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [23:15:00 07/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:15:00 07/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [23:15:00 07/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:15:00 07/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:15:00 07/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [23:15:00 07/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:15:00 07/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [23:15:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:15:00 07/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [23:15:00 07/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [23:15:00 07/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:15:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:15:00 07/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [23:15:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 87 u1: % st: NotStopd t0: [23:15:00 07/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [23:15:00 07/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [23:15:00 07/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [23:15:00 07/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [23:15:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 07/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [23:15:00 07/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [23:15:00 07/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [23:00:00 08/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 cv: 0 ap: none t0: [23:00:00 08/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 cv: 0 ap: none t0: [23:00:00 08/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 cv: 940 ap: none t0: [23:00:00 08/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 cv: 1317.67 ap: none t0: [23:00:00 08/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 cv: 940 ap: none t0: [23:00:00 08/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 cv: -1010 ap: none
t0: [23:00:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [23:00:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [23:00:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [23:15:00 07/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [23:15:00 07/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [23:15:00 07/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd
t0: [23:30:00 07/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 07/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 07/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 07/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [23:30:00 07/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 07/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:30:00 07/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [23:30:00 07/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [23:30:00 07/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [00:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [00:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 08/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [00:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:45:00 08/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [00:45:00 08/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonprod/Congest st: NotStopd t0: [00:45:00 08/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:45:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:45:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:45:00 08/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:45:00 08/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:45:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:45:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [00:45:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:45:00 08/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:45:00 08/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:45:00 08/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:45:00 08/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:45:00 08/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:45:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:45:00 08/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:45:00 08/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:45:00 08/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:45:00 08/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:45:00 08/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [00:45:00 08/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:45:00 08/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:45:00 08/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [00:45:00 08/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [00:45:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:45:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:45:00 08/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:45:00 08/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:45:00 08/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:45:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:45:00 08/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:45:00 08/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:45:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [00:45:00 08/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:45:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:45:00 08/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:45:00 08/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:45:00 08/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:45:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 08/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:45:00 08/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd
t0: [00:45:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [02:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [02:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 08/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Moderate st: NotStopd t0: [04:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [04:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 08/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 08/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 08/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [04:00:00 08/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Non-Rebreather st: NotStopd t0: [04:00:00 08/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [04:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 08/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml
t0: [04:00:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [05:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [05:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [05:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [05:00:00 08/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [05:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [05:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [05:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [06:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [06:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 85 vu: ml
t0: [06:00:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [06:00:00 08/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:00:00 08/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd
t0: [08:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [08:00:00 08/10/2013] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Nonproductive st: NotStopd t0: [08:00:00 08/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 08/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [08:00:00 08/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 08/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 08/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [08:00:00 08/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 08/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 08/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Chair st: NotStopd t0: [08:00:00 08/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 08/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 08/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [08:00:00 08/10/2013] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 08/10/2013] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 08/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 08/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 08/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 08/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 08/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 08/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 08/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 08/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 08/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 08/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [08:00:00 08/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 08/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [08:10:00 08/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.4 u1: % rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 233 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.83 u1: /mic l rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18.1 rs: Final st: NotStopd
t0: [09:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [09:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [09:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 29 u1: BPM st: NotStopd t0: [09:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [10:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 122 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [10:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [10:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [08:10:00 08/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 138 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [08:10:00 08/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [09:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [11:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [11:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [12:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 134 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 27 u1: BPM st: NotStopd t0: [12:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [11:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg u2: mmHg st: NotStopd t0: [12:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [12:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd
id: Propofol el: 200 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ra: 5 ru: ml/hr
id: N/A el: 2 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [13:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 96 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [13:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 28 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd
t0: [13:00:00 08/10/2013] tf: [18:45:00 08/10/2013] dt: 345 id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 12.4452 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 08/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [13:00:00 08/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [13:00:00 08/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [13:00:00 08/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [13:00:00 08/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 08/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [13:15:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:15:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:15:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:15:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:15:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [13:15:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [13:15:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:15:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [13:15:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:15:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:30:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:30:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:30:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [13:30:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [13:30:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:30:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 37.3357 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 62.2262 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:30:00 08/10/2013] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd
t0: [13:00:00 08/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.8571 u1: ml/cmH st: NotStopd t0: [13:00:00 08/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [13:00:00 08/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 08/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 08/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.1 u1: Deg. C st: NotStopd t0: [13:00:00 08/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [13:00:00 08/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [13:00:00 08/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [13:00:00 08/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [13:00:00 08/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [13:00:00 08/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 08/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 08/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [13:00:00 08/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 08/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 08/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [13:00:00 08/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 64 u1: BPM st: NotStopd t0: [14:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 v1: 80 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 v1: 54.6667 u1: mmHg st: NotStopd t0: [14:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 19 u1: BPM st: NotStopd t0: [14:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [14:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 08/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [14:00:00 08/10/2013] tf: [19:00:00 08/10/2013] dt: 300 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 08/10/2013] tf: [18:31:00 08/10/2013] dt: 271 id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [14:00:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 08/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [14:00:00 08/10/2013] 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 08/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [14:00:00 08/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 08/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 08/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [14:00:00 08/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [14:00:00 08/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [14:00:00 08/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd
t0: [15:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [15:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [15:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [15:00:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:10:00 08/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [16:10:00 08/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:10:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd t0: [16:10:00 08/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:10:00 08/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:10:00 08/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:10:00 08/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33.4 u1: Deg. C st: NotStopd t0: [16:10:00 08/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [16:10:00 08/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:10:00 08/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [16:10:00 08/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [16:10:00 08/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [16:10:00 08/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [16:10:00 08/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:10:00 08/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:10:00 08/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:10:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [16:10:00 08/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd t0: [16:10:00 08/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [16:10:00 08/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:10:00 08/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:10:00 08/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:10:00 08/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 08/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [12:00:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 08/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 08/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 08/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [16:00:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [16:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 08/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 08/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 08/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 08/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 08/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [16:00:00 08/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 08/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 08/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 08/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 08/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 08/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 08/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [16:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [16:00:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [16:00:00 08/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 08/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [16:00:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:05:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:05:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [08:05:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:05:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [08:05:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [08:05:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:50:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:50:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [09:50:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:50:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:50:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:50:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:50:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 85 u1: % st: NotStopd t0: [09:50:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:10:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:10:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:10:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:10:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:10:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 84 u1: % st: NotStopd t0: [11:10:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:20:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:20:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:20:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:20:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:20:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 78 u1: % st: NotStopd t0: [12:20:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:25:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:25:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:25:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:25:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:25:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [12:25:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:30:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:30:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 83 u1: % st: NotStopd t0: [12:30:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:35:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:35:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:35:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:35:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:35:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 85 u1: % st: NotStopd t0: [12:35:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:40:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:40:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [12:40:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:40:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:40:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [12:40:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:45:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:45:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:45:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:25:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [16:30:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [16:30:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:30:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:30:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:30:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:35:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:35:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [16:35:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:35:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:35:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:35:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:35:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [16:35:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 17.4233 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:35:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 12.4452 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:30:00 08/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [16:30:00 08/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [17:19:00 08/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [17:19:00 08/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [17:19:00 08/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [17:19:00 08/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [17:19:00 08/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [17:19:00 08/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [17:19:00 08/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [17:19:00 08/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [17:19:00 08/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [17:19:00 08/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [17:19:00 08/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [17:19:00 08/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [17:19:00 08/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [17:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [17:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 08/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [17:00:00 08/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 7.66667 vu: ml t0: [17:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [17:00:00 08/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 500 vu: ml t0: [18:00:00 08/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [18:13:00 08/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [18:13:00 08/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [18:13:00 08/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [18:13:00 08/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [18:13:00 08/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd
t0: [18:31:00 08/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [18:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:30:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [18:30:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:30:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:30:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:30:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:30:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 08/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [18:00:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Ativan el: 100 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions am: 40 du: mghr rt: IV Drip
t0: [19:00:00 08/10/2013] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [19:00:00 08/10/2013] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
io: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ra: 30 ru: ml/hr
t0: [19:00:00 08/10/2013] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: MICU-A cg: -1 ai: 189 vo: 0 st: D/C'd
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 400.0ml + 40mghr Ativan IV Infusions vo: 400 du: ml rt: Intravenous Push
t0: [18:45:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:45:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:45:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:45:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [18:45:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:45:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [18:45:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:45:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:45:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:45:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:50:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:50:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:50:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:50:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [18:50:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:50:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:50:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:50:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:50:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:50:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:50:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 v1: 24.8905 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [18:45:00 08/10/2013] tf: [20:33:00 14/10/2013] dt: 8748 id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 60 su: ml rt: IV Drip t0: [18:50:00 08/10/2013] id: Propofol el: 2 cu: MICU-A cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [19:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [19:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [19:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [19:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 08/10/2013] id: Cough Effort el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 08/10/2013] id: Cough Type el: 0 cu: MICU-A cg: -1 st: D/C'd
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml 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 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [20:00:00 08/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [20:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [20:00:00 08/10/2013] 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 08/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [20:00:00 08/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 08/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 08/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 08/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 08/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 08/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 08/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 08/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 08/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 08/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [20:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 08/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 08/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 08/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 08/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 08/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 08/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [20:00:00 08/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [20:00:00 08/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [20:00:00 08/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [20:00:00 08/10/2013] tf: [20:33:00 14/10/2013] dt: 8673 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [20:00:00 08/10/2013] tf: [17:30:00 09/10/2013] dt: 1290 id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 50 vu: ml nb: 1 t0: [20:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [20:00:00 08/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 08/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [20:40:00 08/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [20:40:00 08/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:40:00 08/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:40:00 08/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:40:00 08/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:40:00 08/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:40:00 08/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:40:00 08/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [20:40:00 08/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:40:00 08/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [20:40:00 08/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:40:00 08/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [20:40:00 08/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:40:00 08/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:40:00 08/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:40:00 08/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:40:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [20:40:00 08/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:40:00 08/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:40:00 08/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:40:00 08/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:40:00 08/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [21:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 08/10/2013] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [22:00:00 08/10/2013] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: RN st: NotStopd t0: [22:00:00 08/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 08/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd
t0: [22:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 08/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [22:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 08/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 08/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [22:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 08/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 08/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 08/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thin st: NotStopd t0: [22:00:00 08/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [22:00:00 08/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd
t0: [22:00:00 08/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [22:00:00 08/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 80 vu: ml t0: [22:00:00 08/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [22:00:00 08/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 08/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 08/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [23:00:00 08/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 08/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 08/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 08/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 08/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 08/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 08/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 06/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [22:55:00 08/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [22:55:00 08/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [22:55:00 08/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 08/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 08/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.46 rs: Final st: NotStopd
t0: [23:00:00 08/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 cv: 187.667 ap: none t0: [23:00:00 08/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 cv: 2257.67 ap: none t0: [23:00:00 08/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: 1663 cv: 70 ap: none
t0: [20:00:00 08/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 08/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN st: NotStopd t0: [00:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [00:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [00:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 09/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [00:00:00 09/10/2013] 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 09/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [00:00:00 09/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 09/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:00:00 09/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 09/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 09/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 09/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 09/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [00:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 80 vu: ml t0: [00:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [23:00:00 09/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 09/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RRT pv: 540 cv: 540 ap: none t0: [23:00:00 09/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 500 cv: 3053.5 ap: none t0: [23:00:00 09/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RRT pv: 540 cv: 5963.5 ap: none t0: [23:00:00 09/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 722 ap: none t0: [23:00:00 09/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RRT pv: 540 cv: 5086.5 ap: none t0: [23:00:00 09/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 877 ap: none t0: [23:00:00 09/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RRT pv: 540 cv: 1285.5 ap: none
t0: [00:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:38:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.2414 u1: ml/cmH st: NotStopd t0: [00:38:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:38:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [00:38:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:38:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:38:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:38:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:38:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [00:38:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:38:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13 u1: L/min st: NotStopd t0: [00:38:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:38:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:38:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:38:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:38:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:38:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:38:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [00:38:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [00:38:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:38:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:38:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:38:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [01:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [01:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [01:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [01:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 09/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [02:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 90 vu: ml t0: [02:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [02:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:45:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg u2: mmHg st: NotStopd t0: [02:30:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:30:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:30:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [02:30:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:30:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:30:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:30:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:30:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:30:00 09/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [02:30:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [02:30:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 09/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [02:30:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [03:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [03:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [03:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [03:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 09/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thin st: NotStopd t0: [03:30:00 09/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [04:00:00 09/10/2013] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.14739 u1: m2 st: NotStopd t0: [04:00:00 09/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.34182 u1: m2 st: NotStopd t0: [04:00:00 09/10/2013] id: Weight Change el: 0 cu: MICU-A cg: RN v1: -8.3 u1: kg st: NotStopd t0: [04:00:00 09/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd
t0: [03:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 09/10/2013] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 09/10/2013] id: ImpSkin Character #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [03:30:00 09/10/2013] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Other/Remarks st: NotStopd t0: [04:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [04:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 09/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [04:00:00 09/10/2013] 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 09/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [04:00:00 09/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 09/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 09/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 09/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 09/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 09/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [04:00:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 09/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [04:00:00 09/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 0 vu: ml t0: [04:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml nb: 1 t0: [04:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [04:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:29:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [04:29:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:29:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [04:29:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:29:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:29:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:29:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:29:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [04:29:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:29:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [04:29:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [04:29:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [04:29:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:29:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:29:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:29:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:29:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [04:29:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [04:29:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:29:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:29:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:29:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [05:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [05:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [06:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [06:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 09/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [06:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [06:00:00 09/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 60 vu: ml t0: [06:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [05:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:05:00 09/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [06:05:00 09/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [06:05:00 09/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [06:05:00 09/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [06:05:00 09/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.48 rs: Final st: NotStopd
t0: [06:12:00 09/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.6 u1: % rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 13.2 rs: Final st: NotStopd
t0: [06:12:00 09/10/2013] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 27.5 rs: Final st: NotStopd
t0: [06:12:00 09/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 42 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 173 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [06:12:00 09/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 75 ru: ml/hr
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
t0: [08:15:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.129 u1: ml/cmH st: NotStopd t0: [08:15:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:15:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [08:15:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:15:00 09/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.9 st: NotStopd t0: [08:15:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [08:15:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:15:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:15:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [08:15:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:15:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [08:15:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:15:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:15:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:15:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [08:15:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:15:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 98 u1: % st: NotStopd t0: [08:15:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [08:15:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:15:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:15:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:15:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [08:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 09/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [08:00:00 09/10/2013] 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 09/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [08:00:00 09/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [08:00:00 09/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 09/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 09/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [08:00:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 09/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [08:00:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 09/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 09/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [08:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [08:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [09:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [09:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 09/10/2013] tf: [17:30:00 09/10/2013] dt: 510 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [09:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 100 vu: ml t0: [09:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [09:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [10:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [10:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [10:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [10:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [10:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:00:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [11:00:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [11:00:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [11:00:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [11:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [11:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [11:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [11:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [11:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [11:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:31:00 09/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [11:31:00 09/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [11:31:00 09/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [11:31:00 09/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [11:31:00 09/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [11:31:00 09/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [11:31:00 09/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [11:31:00 09/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [11:31:00 09/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [11:31:00 09/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [11:31:00 09/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [11:31:00 09/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [11:31:00 09/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [12:00:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 13.8889 u1: ml/cmH st: NotStopd t0: [12:00:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [12:00:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [12:00:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [12:00:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [12:00:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 17.4 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 11.1 u1: L/min st: NotStopd t0: [12:00:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:00:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 38.8 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [12:00:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 09/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: White v2: Thick st: NotStopd t0: [12:00:00 09/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 430 u1: ml/B st: NotStopd t0: [12:00:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [12:00:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [12:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [12:00:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [12:00:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [12:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [12:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [12:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [12:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:07:00 09/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [12:07:00 09/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [12:07:00 09/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 09/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [12:07:00 09/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [13:00:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 1 u1: torr st: NotStopd
t0: [13:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [13:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [13:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [13:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [13:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [13:30:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:30:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:30:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [13:30:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [13:30:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [13:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml
t0: [13:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [13:30:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [14:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [14:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [14:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 38 u1: BPM st: NotStopd t0: [14:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [14:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [15:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 75 vu: ml t0: [15:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [15:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 37 vu: ml
t0: [14:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 09/10/2013] tf: [18:00:00 09/10/2013] dt: 240 id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml
t0: [14:00:00 09/10/2013] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [14:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 09/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [14:00:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [14:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [14:00:00 09/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [14:00:00 09/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 09/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 09/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [14:00:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [14:00:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 09/10/2013] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [14:00:00 09/10/2013] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Sanguinous st: NotStopd t0: [14:00:00 09/10/2013] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 09/10/2013] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [14:00:00 09/10/2013] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [14:00:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [14:00:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [14:00:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [14:00:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [14:00:00 09/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [14:00:00 09/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [14:00:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd
t0: [15:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [15:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 108 u2: mmHg st: NotStopd t0: [15:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [15:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [15:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [15:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:15:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 16.7364 u1: ml/cmH st: NotStopd t0: [17:15:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [17:15:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 1 u1: torr st: NotStopd t0: [17:15:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:15:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [17:15:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [17:15:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [17:15:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [17:15:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [17:15:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 10.7 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 9.7 u1: L/min st: NotStopd t0: [17:15:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [17:15:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 28.9 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 26.4 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [17:15:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 12 u1: BPM st: NotStopd t0: [17:15:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:15:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [17:15:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:15:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 430 u1: ml/B st: NotStopd t0: [17:15:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [17:15:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [17:15:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [17:15:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [13:00:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 5 u1: cmH2O st: NotStopd
t0: [18:00:00 09/10/2013] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [18:00:00 09/10/2013] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [18:00:00 09/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
id: OR Crystalloid el: 1 cu: MICU-A cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [17:30:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:30:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:30:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:30:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [17:30:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [17:30:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:30:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:30:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:30:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [17:30:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [17:30:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [17:30:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 0 vu: ml nb: 1 t0: [17:30:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [17:30:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:30:00 09/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [17:30:00 09/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [17:30:00 09/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [17:30:00 09/10/2013] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [17:30:00 09/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [17:30:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [17:30:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [17:30:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [17:30:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [17:30:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [17:30:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [17:30:00 09/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:30:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [17:30:00 09/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:30:00 09/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [17:30:00 09/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [17:30:00 09/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [17:30:00 09/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [17:30:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:30:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [17:30:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [17:30:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:30:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [17:30:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:30:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:30:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [17:30:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [17:30:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:30:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [17:30:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:30:00 09/10/2013] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [17:30:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:30:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [17:30:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [17:30:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [17:30:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:30:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:30:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [17:30:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:30:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:30:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:30:00 09/10/2013] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [17:30:00 09/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [17:30:00 09/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Sanguinous st: NotStopd t0: [18:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [18:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [18:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 09/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 800 vu: ml t0: [17:30:00 09/10/2013] id: ns bolus Free Form Intake el: 1 cu: MICU-A cg: RN vo: 1000 vu: ml t0: [18:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7353 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 37.5 vu: ml t0: [18:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7353 id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 20 vu: ml
t0: [18:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:09:00 09/10/2013] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.408 u1: ml/dl st: NotStopd t0: [18:09:00 09/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 172 rs: Final st: NotStopd t0: [18:09:00 09/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 90 u1: % rs: Final st: NotStopd
t0: [19:00:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [20:39:00 09/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [20:39:00 09/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [20:39:00 09/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [20:39:00 09/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [20:39:00 09/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd
t0: [20:00:00 09/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 09/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 09/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 09/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 09/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 09/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Yellow st: NotStopd t0: [20:00:00 09/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 09/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 09/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 09/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 09/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 09/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 09/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 09/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 09/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 09/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 09/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [20:00:00 09/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd t0: [20:00:00 09/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 09/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [20:00:00 09/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 09/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 09/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 09/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 09/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 09/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 09/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 09/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 09/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 09/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Sanguinous st: NotStopd
t0: [20:00:00 09/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [20:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7233 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [20:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 150 vu: ml t0: [20:00:00 09/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [20:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 80 vu: ml t0: [20:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7233 id: Gastric Oral Gastric el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [20:00:00 09/10/2013] id: Gastric Oral Gastric el: 1 cu: MICU-A cg: RN vo: 5 vu: ml
t0: [20:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 09/10/2013] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 5 ap: none
id: Morphine Sulfate el: 100 cu: MICU-A cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions am: 100 du: mghr rt: IV Drip
io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ra: 1 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions vo: 100 du: ml rt: Intravenous Push id: Replete w/fiber el: 1 cu: MICU-A cg: RN io: Replete w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [21:00:00 09/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 15.2672 u1: ml/cmH st: NotStopd t0: [21:00:00 09/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 09/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.8 u1: torr st: NotStopd t0: [21:00:00 09/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [21:00:00 09/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [21:00:00 09/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.5 u1: Deg. C st: NotStopd t0: [21:00:00 09/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [21:00:00 09/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [21:00:00 09/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 11.2 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 13.9 u1: L/min st: NotStopd t0: [21:00:00 09/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [21:00:00 09/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 36.2 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [21:00:00 09/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 32 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 09/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 430 u1: ml/B st: NotStopd t0: [21:00:00 09/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [21:00:00 09/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [21:00:00 09/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [21:00:00 09/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [21:00:00 09/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thick st: NotStopd t0: [21:00:00 09/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [21:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [21:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [21:00:00 09/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml nb: 1
t0: [21:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7173 id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 09/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml
t0: [23:00:00 09/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 870 ap: none
t0: [22:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [22:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7113 id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 09/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 80 vu: ml t0: [22:00:00 09/10/2013] tf: [20:33:00 14/10/2013] dt: 7113 id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [22:00:00 09/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [22:00:00 09/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 09/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 150 ap: none
t0: [23:00:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [23:00:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 09/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [23:00:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [23:00:00 09/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 09/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [23:30:00 09/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 09/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 09/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:30:00 09/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:30:00 09/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [23:30:00 09/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:30:00 09/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:30:00 09/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:30:00 09/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [23:30:00 09/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:30:00 09/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:30:00 09/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 10/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 10/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 10/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 10/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 10/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [00:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 10/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 10/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 10/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:00:00 10/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 10/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 10/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 10/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 10/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [00:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [00:00:00 10/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 10/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 10/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 10/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 10/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 10/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 10/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Sanguinous st: NotStopd
t0: [00:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [00:00:00 10/10/2013] 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 10/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 40 vu: ml t0: [00:00:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [00:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 75 vu: ml t0: [00:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:30:00 09/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:30:00 09/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [00:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 10/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 707 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 867 ap: none
t0: [00:00:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18.1818 u1: ml/cmH st: NotStopd t0: [00:00:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [00:00:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [00:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [00:00:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [00:00:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [00:00:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [00:00:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:12:00 09/10/2013] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 64 rs: Final st: NotStopd
t0: [00:30:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:30:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:30:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [00:30:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:30:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:30:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [00:30:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:30:00 10/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:30:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [00:30:00 10/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:30:00 10/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:30:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/10/2013] tf: [00:30:00 10/10/2013] dt: 90 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [00:30:00 10/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [00:30:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml st: Stopped
t0: [00:30:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 2 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:30:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [23:00:00 09/10/2013] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RRT pv: 40 cv: 40 ap: none
id: Neosynephrine el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 20 du: mcgmin rt: IV Drip id: Neosynephrine el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mcgmin Neosynephrine IV Infusions am: 20 du: mcgmin rt: IV Drip id: Neosynephrine el: 101 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip id: Neosynephrine el: 101 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ra: 20 ru: ml/hr io: .9% Normal Saline 250.0ml + 20mcgmin Neosynephrine IV Infusions el: 1 cu: MICU-A cg: RN ra: 20 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [01:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [01:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1.5 vu: ml t0: [01:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 37.5 vu: ml
t0: [01:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [01:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 100 su: ml rt: IV Drip
t0: [01:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [01:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [01:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [02:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [02:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3 vu: ml t0: [02:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 40 vu: ml t0: [02:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [02:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd
t0: [00:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [03:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 68.1 u1: kg st: NotStopd t0: [03:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 10/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 10/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 10/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 10/10/2013] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 10/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 10/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [04:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 10/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 10/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 10/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 10/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 10/10/2013] id: IV #3 D/C Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 4 st: NotStopd t0: [04:00:00 10/10/2013] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 10/10/2013] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 10/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/10/2013] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 10/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 10/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 10/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 10/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 10/10/2013] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 10/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 10/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/10/2013] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.18001 u1: m2 st: NotStopd t0: [04:00:00 10/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.37908 u1: m2 st: NotStopd t0: [04:00:00 10/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/10/2013] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [04:00:00 10/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 10/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 10/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 10/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Sanguinous st: NotStopd
t0: [03:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [03:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [04:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [04:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml nb: 1 t0: [04:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [04:00:00 10/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [04:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [04:00:00 10/10/2013] id: Gastric Oral Gastric el: 1 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [03:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 10/10/2013] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 10 ap: none
t0: [04:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [04:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd
t0: [05:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [05:00:00 10/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [05:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 17.6471 u1: ml/cmH st: NotStopd t0: [05:00:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [05:00:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 55 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:00:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [05:00:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.3 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [05:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [05:00:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [05:00:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:09:00 10/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 u1: % rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 203 rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 23.7 rs: Final st: NotStopd
t0: [05:09:00 10/10/2013] id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 374 rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.8 rs: Final st: NotStopd
t0: [05:09:00 10/10/2013] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.4 rs: Final st: NotStopd t0: [05:09:00 10/10/2013] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 26.4 rs: Final st: NotStopd
t0: [06:34:00 10/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -6 rs: Final st: NotStopd t0: [06:34:00 10/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [06:34:00 10/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 55 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 10/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 10/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [06:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [06:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:30:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [06:30:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [06:30:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:30:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [06:30:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [06:30:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:30:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [06:30:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [07:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [07:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [07:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 10/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 25 vu: ml t0: [06:30:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:30:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 112.5 vu: ml t0: [06:30:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [06:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:30:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [07:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
id: Doxacurium el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips am: 20 du: mgkghr rt: IV Drip id: Doxacurium el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 10mgkghr Doxacurium IV Infusions am: 20 du: mgkghr rt: IV Drip id: Doxacurium el: 101 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips am: 10 du: mgkghr rt: IV Drip id: Doxacurium el: 101 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 10mgkghr Doxacurium IV Infusions am: 10 du: mgkghr rt: IV Drip id: Levophed el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions am: 4 du: mcgmin rt: IV Drip
io: D5W 250.0ml + 4mcgmin Levophed IV Infusions el: 1 cu: MICU-A cg: RN ra: 0 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgmin Levophed IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 20mgkghr Doxacurium IV Drips vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 100.0ml + 10mgkghr Doxacurium IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [05:09:00 10/10/2013] id: CPK/MB Enzymes el: 0 cu: MICU-A cg: 1663 v1: 11 rs: Final st: NotStopd
t0: [07:05:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:05:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:05:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:05:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:05:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:05:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:05:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:05:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:05:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:05:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [07:05:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:10:00 10/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 6.66667 vu: ml t0: [07:10:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.66667 vu: ml t0: [07:10:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 30 vu: ml
t0: [07:05:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:05:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [07:00:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd
t0: [07:10:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:10:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:10:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:10:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:10:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Atrial Fib st: NotStopd t0: [07:10:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [07:10:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg st: NotStopd t0: [07:10:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:10:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [07:10:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:10:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [07:10:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:10:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:10:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:30:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:30:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:30:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [07:30:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:30:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [07:30:00 10/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:30:00 10/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [07:30:00 10/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [07:30:00 10/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [07:30:00 10/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [07:30:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 164 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [07:30:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [07:30:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:30:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [07:30:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:30:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [07:30:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [07:30:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [07:30:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [07:30:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 10/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 10/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 10/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 10/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 10/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 10/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 10/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [08:00:00 10/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 10/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Paralytic Med st: NotStopd t0: [08:00:00 10/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 10/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 10/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 10/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 10/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 10/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 10/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 10/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 10/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [07:30:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [07:30:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [08:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [08:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [08:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [08:00:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3.33333 vu: ml t0: [08:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 37.5 vu: ml t0: [08:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 38 vu: ml
t0: [08:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:16:00 10/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [08:16:00 10/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [08:16:00 10/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 10/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [08:16:00 10/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.29 rs: Final st: NotStopd
t0: [08:15:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 13.8462 u1: ml/cmH st: NotStopd t0: [08:15:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:15:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.65 u1: torr st: NotStopd t0: [08:15:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:15:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [08:15:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:15:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [08:15:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [08:15:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 4 st: NotStopd t0: [08:15:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14.1 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [08:15:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:15:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [08:15:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:15:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:15:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:15:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:15:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [08:15:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 470 u1: ml/B st: NotStopd t0: [08:15:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [08:15:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:15:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:15:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [09:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [09:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [09:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [09:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vu: ml nb: 1 t0: [09:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [09:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [09:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [10:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [10:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [10:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [10:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [10:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [10:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:05:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RN v1: 15.1515 u1: ml/cmH st: NotStopd t0: [10:05:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [10:05:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.65 u1: torr st: NotStopd t0: [10:05:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 55 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RN v1: 35 u1: BPM st: NotStopd t0: [10:05:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [10:05:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [10:05:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RN v1: 33.2 u1: Deg. C st: NotStopd t0: [10:05:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [10:05:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RN v1: 6 st: NotStopd t0: [10:05:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 10 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RN v1: 14.1 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RN v1: 8.5 u1: L/min st: NotStopd t0: [10:05:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RN v1: 7.5 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RN v1: 60 u1: L/m st: NotStopd t0: [10:05:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RN v1: 33.9 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RN v1: 32.4 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [10:05:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [10:05:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:05:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:05:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RN v1: 2 u1: cmH2O st: NotStopd t0: [10:05:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:05:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RN v1: 420 u1: ml/B st: NotStopd t0: [10:05:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RN v1: 400 u1: ml/B st: NotStopd t0: [10:05:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RN v1: Assist Control st: NotStopd t0: [10:05:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [10:05:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RN v1: RAMP st: NotStopd
t0: [10:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [10:00:00 10/10/2013] tf: [13:00:00 11/10/2013] dt: 1620 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [10:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [10:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [10:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [11:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [11:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [11:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [11:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [11:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [11:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [11:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [11:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:17:00 10/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [11:17:00 10/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:17:00 10/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [11:17:00 10/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 76 u1: mmHg rs: Final st: NotStopd
t0: [12:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [12:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [12:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [12:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [12:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [12:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 10/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 257 rs: Manual st: NotStopd t0: [11:17:00 10/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: RN v1: 7.33 rs: Final st: NotStopd
t0: [12:00:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 13.1148 u1: ml/cmH st: NotStopd t0: [12:00:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.65 u1: torr st: NotStopd t0: [12:00:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 55 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [12:00:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [12:00:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 6 st: NotStopd t0: [12:00:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 14.2 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.4 u1: L/min st: NotStopd t0: [12:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:00:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 38 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [12:00:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [12:00:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 10/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 10/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [12:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml
t0: [13:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [13:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [13:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [13:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [13:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [13:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [13:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [13:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [09:00:00 10/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 10/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [13:00:00 10/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 263 rs: Manual st: NotStopd
t0: [08:00:00 10/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd
t0: [14:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [14:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [14:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [14:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [14:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [14:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [14:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [14:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [14:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 10 vu: ml t0: [14:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [14:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:00:00 10/10/2013] tf: [20:33:00 14/10/2013] dt: 6153 id: Neosynephrine el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:00:00 10/10/2013] tf: [20:33:00 14/10/2013] dt: 6153 id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 10/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 10/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [14:00:00 10/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [14:00:00 10/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [14:00:00 10/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [14:00:00 10/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 10/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 10/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [14:00:00 10/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [14:00:00 10/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [14:00:00 10/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [14:00:00 10/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [14:00:00 10/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 10/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 10/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 10/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [14:00:00 10/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 10/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 10/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [14:00:00 10/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [14:00:00 10/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 10/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [14:00:00 10/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [14:00:00 10/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [14:00:00 10/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [14:00:00 10/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [15:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [15:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [15:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [15:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [15:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [15:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [15:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 34 vu: ml
t0: [15:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:00:00 10/10/2013] id: Levophed el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:20:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:20:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:20:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:20:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [15:20:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:20:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:20:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [15:20:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:20:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [15:20:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:20:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:20:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:25:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:25:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:25:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:25:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [15:25:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:25:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:25:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [15:25:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:25:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [15:25:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:25:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:25:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:20:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:20:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:20:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [15:25:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:25:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:25:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [16:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [16:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [16:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [16:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [16:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [16:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:35:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 12.6582 u1: ml/cmH st: NotStopd t0: [16:35:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:35:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.65 u1: torr st: NotStopd t0: [16:35:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:35:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [16:35:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:35:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [16:35:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:35:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 6 st: NotStopd t0: [16:35:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.7 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.4 u1: L/min st: NotStopd t0: [16:35:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [16:35:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 39.1 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 36.8 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [16:35:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:35:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:35:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:35:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:35:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 97 u1: % st: NotStopd t0: [16:35:00 10/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Tan v2: Thin st: NotStopd t0: [16:35:00 10/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [16:35:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [16:35:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [16:35:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [16:35:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:35:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [15:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [17:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 10/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [17:00:00 10/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd
t0: [17:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [17:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [17:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [17:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [17:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [17:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 55 vu: ml t0: [17:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [17:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [17:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [17:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [17:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:15:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd
t0: [18:00:00 10/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 228 rs: Manual st: NotStopd
t0: [18:00:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [18:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.55 u1: torr st: NotStopd t0: [18:00:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [18:00:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [18:00:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [18:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd
t0: [18:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [18:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [18:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [18:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [18:00:00 10/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [18:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [18:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 10/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 150 ap: none
t0: [18:56:00 10/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [18:56:00 10/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [18:56:00 10/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [18:56:00 10/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [18:56:00 10/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [19:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [19:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [19:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [19:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 10/10/2013] 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 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [19:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [19:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [19:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [19:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 10/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 10/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 10/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 10/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 10/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 10/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 10/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [20:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 10/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 10/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 10/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 10/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 10/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 10/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 10/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 10/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [20:00:00 10/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 10/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 10/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [20:00:00 10/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [20:00:00 10/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 10/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 10/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 10/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 10/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 10/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 10/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 10/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 10/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [20:00:00 10/10/2013] 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 10/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [20:00:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 20 vu: ml t0: [20:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [20:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [20:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [21:00:00 10/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 13.1148 u1: ml/cmH st: NotStopd t0: [21:00:00 10/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 10/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [21:00:00 10/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 10/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 10/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [21:00:00 10/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [21:00:00 10/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [21:00:00 10/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.7 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [21:00:00 10/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [21:00:00 10/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [21:00:00 10/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [21:00:00 10/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [21:00:00 10/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 10/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [21:00:00 10/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [21:00:00 10/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 10/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 10/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 53 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [21:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [22:00:00 10/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 10/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 10/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [22:00:00 10/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [22:00:00 10/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 10/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 10/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 10/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 10/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [22:00:00 10/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 90 vu: ml t0: [22:00:00 10/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [21:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 10/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 10/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 10/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2161 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2481 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 220 ap: none t0: [23:00:00 10/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1614 ap: none t0: [23:00:00 10/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1468.5 ap: none
t0: [00:00:00 11/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 11/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 11/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 11/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 11/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 11/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [00:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 11/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 11/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 11/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [00:00:00 11/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 11/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/10/2013] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [00:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 11/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [00:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [00:00:00 11/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [00:00:00 11/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 234 rs: Manual st: NotStopd t0: [00:00:00 11/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 11/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 11/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [00:00:00 11/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [00:00:00 11/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 11/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [00:00:00 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [00:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [00:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 90 vu: ml t0: [00:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [00:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 11/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 104.5 cv: 104.5 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 64.5 cv: 1985 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 104.5 cv: 2905 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 40 cv: 720 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 2058 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 104.5 cv: 637 ap: none t0: [23:00:00 11/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 2268 ap: none t0: [23:00:00 11/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 50 cv: 820.5 ap: none
t0: [00:14:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [00:14:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [00:14:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [00:14:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [00:14:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [01:00:00 11/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 12.6984 u1: ml/cmH st: NotStopd t0: [01:00:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [01:00:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [01:00:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [01:00:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [01:00:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [01:00:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14.9 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [01:00:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [01:00:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [01:00:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [01:00:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [01:00:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [01:00:00 11/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [01:00:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [02:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [02:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [02:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [02:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [02:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [02:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [02:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [02:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [02:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 90 vu: ml t0: [02:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [02:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 11/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 11/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 11/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 11/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 11/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [04:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 11/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 11/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 11/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [04:00:00 11/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 11/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 11/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 11/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 11/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 11/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [04:00:00 11/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 11/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [04:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [04:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 90 vu: ml t0: [04:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 135 vu: ml
t0: [04:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [05:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [05:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [05:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 30 vu: ml t0: [05:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [05:00:00 11/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [05:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 11/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 12.6984 u1: ml/cmH st: NotStopd t0: [05:00:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [05:00:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [05:00:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [05:00:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [05:00:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [05:00:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: RRT v1: 60 u1: L/m st: NotStopd t0: [05:00:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [05:00:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [05:00:00 11/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [05:00:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:03:00 11/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28.7 u1: % rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 153 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd
t0: [05:03:00 11/10/2013] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.7 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 28.3 rs: Final st: NotStopd
t0: [05:03:00 11/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] 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: [05:03:00 11/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 109 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 244 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 142 rs: Final st: NotStopd
t0: [06:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [06:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [06:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [06:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [06:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [06:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 71.6 u1: kg st: NotStopd t0: [06:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [06:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 30 vu: ml t0: [06:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [06:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:03:00 11/10/2013] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.2 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:03:00 11/10/2013] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 95.4 rs: Final st: NotStopd
t0: [08:00:00 11/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 11/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 11/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [08:00:00 11/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: -1 v1: Right Posterior st: NotStopd t0: [08:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 11/10/2013] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 11/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 11/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 11/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 11/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 11/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 56 u1: BPM st: NotStopd t0: [08:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 11/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 11/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 11/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 1 st: NotStopd t0: [08:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 11/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 11/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 11/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 11/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 11/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Clear st: NotStopd t0: [08:00:00 11/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 11/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 11/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 11/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 96.8 u1: Deg. F st: NotStopd t0: [08:00:00 11/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Light Yellow v2: Cloudy st: NotStopd t0: [08:00:00 11/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 11/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 11/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 11/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 11/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 11/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 11/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd
t0: [08:00:00 11/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [08:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 60 vu: ml t0: [08:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 90 vu: ml t0: [08:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 70 vu: ml
t0: [08:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:15:00 11/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 11.2994 u1: ml/cmH st: NotStopd t0: [08:15:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:15:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:15:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:15:00 11/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.3 st: NotStopd t0: [08:15:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [08:15:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:15:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [08:15:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [08:15:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 6 st: NotStopd t0: [08:15:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 16.1 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.1 u1: L/min st: NotStopd t0: [08:15:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [08:15:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 42.9 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 40.2 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:15:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:15:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:15:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:15:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:15:00 11/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [08:15:00 11/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:15:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:15:00 11/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:15:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [08:15:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:15:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [09:00:00 11/10/2013] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 11/10/2013] id: IV #2 D/C Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 5 st: NotStopd t0: [08:00:00 11/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 11/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Crackles st: NotStopd t0: [09:00:00 11/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 11/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 11/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Good st: NotStopd t0: [09:00:00 11/10/2013] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 11/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 11/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [09:00:00 11/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 11/10/2013] id: ROM el: 0 cu: MICU-A cg: -1 v1: Passive v2: All Extremities st: NotStopd t0: [09:00:00 11/10/2013] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [09:00:00 11/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd
t0: [08:00:00 11/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 189 vo: 50 vu: ml t0: [09:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 40 vu: ml
t0: [09:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [09:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 55 u1: BPM st: NotStopd t0: [09:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [09:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [09:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [09:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [09:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [09:00:00 11/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 4 vu: ml t0: [09:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 153 vo: 45 vu: ml t0: [09:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 43 vu: ml
t0: [09:30:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:30:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [09:30:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:30:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:30:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:30:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:30:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:30:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [09:30:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [09:30:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:17:00 11/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [10:17:00 11/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [10:17:00 11/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [10:17:00 11/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [10:17:00 11/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [10:17:00 11/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [10:17:00 11/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [10:17:00 11/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [10:17:00 11/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [10:17:00 11/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [10:17:00 11/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [10:17:00 11/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [10:17:00 11/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [10:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [10:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [10:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [10:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [10:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml
t0: [10:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 65 vu: ml
t0: [11:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [11:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [11:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [11:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [11:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [11:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:15:00 11/10/2013] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.2812 u1: ml/dl st: NotStopd t0: [11:15:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -1 rs: Final st: NotStopd t0: [11:15:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [11:15:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [11:15:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [11:15:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [11:15:00 11/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [11:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd
t0: [11:00:00 11/10/2013] id: Procedures el: 0 cu: MICU-A cg: RN v1: EKG st: NotStopd
t0: [11:00:00 11/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 11/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 11/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [11:00:00 11/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 11/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:00:00 11/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 11/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [12:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 11/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 11/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 11/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 11/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [12:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [12:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [12:00:00 11/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [12:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [12:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [12:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [12:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 145 vu: ml
t0: [12:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [13:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml
t0: [13:00:00 11/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 v1: 12.8205 u1: ml/cmH st: NotStopd t0: [13:00:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 35 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:2.3 st: NotStopd t0: [13:00:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [13:00:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [13:00:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [13:00:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 6 st: NotStopd t0: [13:00:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 15.1 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [13:00:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: Peak Flow el: 0 cu: MICU-A cg: -1 v1: 60 u1: L/m st: NotStopd t0: [13:00:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 38.7 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 v1: 36.3 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [13:00:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [13:00:00 11/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [13:00:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Assist Control st: NotStopd t0: [13:00:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:00:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 11/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 11/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [13:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [13:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [13:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 280 vu: ml
t0: [13:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [14:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [14:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [14:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [14:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [14:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [14:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 11/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [08:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [08:00:00 11/10/2013] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.21007 u1: m2 st: NotStopd t0: [08:00:00 11/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.4134 u1: m2 st: NotStopd t0: [08:00:00 11/10/2013] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 11/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [09:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [09:30:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [10:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [11:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [12:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [13:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [14:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [15:00:00 11/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd
t0: [15:00:00 11/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [23:00:00 11/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 210 ap: none
t0: [15:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [15:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [15:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [15:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 0 vu: ml t0: [15:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [15:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [15:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:05:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [15:05:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:05:00 11/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.5 st: NotStopd t0: [15:05:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [15:05:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:05:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [15:05:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [15:05:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [15:05:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 18.1 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.7 u1: L/min st: NotStopd t0: [15:05:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 35.1 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [15:05:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [15:05:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:05:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:05:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [15:05:00 11/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: -1 v1: Insp. Time Fixed st: NotStopd t0: [15:05:00 11/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.5 st: NotStopd t0: [15:05:00 11/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [15:05:00 11/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: -1 v1: 1.2 u1: sec st: NotStopd t0: [15:05:00 11/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: -1 v1: 18.1 st: NotStopd t0: [15:05:00 11/10/2013] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [15:05:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Pressure Control st: NotStopd t0: [15:05:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [15:05:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: SQUARE st: NotStopd
t0: [16:00:00 11/10/2013] id: IV #2 Insert Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 11/10/2013] id: IV #2 Site/Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 11/10/2013] id: IV Site Appear #2 el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [15:49:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [15:49:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [15:49:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [15:49:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [15:49:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [16:00:00 11/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 11/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 11/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 11/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 11/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 11/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 11/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 11/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [16:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 11/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 11/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 11/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 11/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 11/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 11/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [16:00:00 11/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 11/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 11/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 11/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 11/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [16:00:00 11/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 11/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 11/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 11/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 11/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 11/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 11/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [16:00:00 11/10/2013] tf: [00:00:00 13/10/2013] dt: 1920 id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [16:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [16:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:35:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [15:35:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.65 u1: torr st: NotStopd t0: [15:35:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [15:35:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [15:35:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [15:35:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [15:35:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:35:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:35:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.55 u1: torr st: NotStopd t0: [16:35:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [16:35:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:35:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:35:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.82 u1: L/min st: NotStopd t0: [16:35:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:35:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:35:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:35:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [16:35:00 11/10/2013] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [16:35:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: Pressure Control st: NotStopd t0: [16:35:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd
t0: [13:00:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [15:05:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.65 u1: torr st: NotStopd
t0: [16:00:00 11/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [16:00:00 11/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd
t0: [17:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [17:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [17:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [17:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 189 vo: 5 vu: ml t0: [17:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [17:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [17:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [17:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [17:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:17:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:17:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [17:17:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [17:17:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [17:17:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd
t0: [12:00:00 11/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 257 rs: Manual st: NotStopd t0: [18:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [18:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [18:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [18:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 11/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 279 rs: Manual st: NotStopd
t0: [18:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [18:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [18:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [18:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [18:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [19:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [19:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [19:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [19:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [19:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [19:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [19:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [19:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [19:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 11/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [20:00:00 11/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [20:00:00 11/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 11/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 11/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 11/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [20:00:00 11/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 11/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.8 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [20:00:00 11/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [20:00:00 11/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:00:00 11/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [20:00:00 11/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [20:00:00 11/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 11/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [20:00:00 11/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.8 st: NotStopd t0: [20:00:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [20:00:00 11/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [20:00:00 11/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 11/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [20:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 11/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 11/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 11/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 11/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 11/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 11/10/2013] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 11/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 11/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 11/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 11/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 11/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 11/10/2013] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 11/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 11/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 11/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 11/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [20:00:00 11/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 11/10/2013] 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 11/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml t0: [20:00:00 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [20:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [20:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [21:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [21:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [21:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [21:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [21:00:00 11/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [21:40:00 11/10/2013] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.2843 u1: ml/dl st: NotStopd t0: [21:40:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [21:40:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [21:40:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 51 u1: mmHg rs: Final st: NotStopd t0: [21:40:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [21:40:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [21:40:00 11/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [22:00:00 11/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [22:00:00 11/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd
t0: [20:00:00 11/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [20:00:00 11/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [21:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [21:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [21:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [21:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [21:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 57 u1: BPM st: NotStopd t0: [22:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [22:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [22:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [22:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 45 vu: ml t0: [22:00:00 11/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [21:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4.5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 11/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.1 u1: cmH2O st: NotStopd t0: [22:00:00 11/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [22:00:00 11/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd
t0: [22:30:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:30:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:30:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [22:30:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:30:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:30:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:30:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:30:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [22:30:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:30:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [22:30:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 11/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [23:00:00 11/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [23:00:00 11/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 11/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 11/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [23:00:00 11/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 11/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [23:00:00 11/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/10/2013] 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 11/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 11/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [23:00:00 11/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 47.5 vu: ml
t0: [22:30:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:30:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [23:00:00 11/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 11/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:07:00 11/10/2013] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 11.2905 u1: ml/dl st: NotStopd t0: [23:07:00 11/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 290 rs: Final st: NotStopd t0: [23:07:00 11/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 92 u1: % rs: Final st: NotStopd
t0: [00:00:00 12/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 12/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 12/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 12/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 12/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 12/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [00:00:00 12/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 12/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 12/10/2013] 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 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 40 vu: ml t0: [00:00:00 12/10/2013] id: D5W 400.0ml + 40mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 153 vo: 50 vu: ml t0: [00:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [00:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1257.12 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 920 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1148 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1328 ap: none
t0: [00:00:00 12/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 286 rs: Manual st: NotStopd
t0: [00:00:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [00:00:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.4 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [00:00:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [00:00:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:00:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [00:00:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [00:00:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [00:00:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.4 st: NotStopd t0: [00:00:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [00:00:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [00:00:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 12/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 12/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 12/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 12/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 12/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 12/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 12/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [00:00:00 12/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 12/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [00:00:00 12/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 30 vu: ml
t0: [23:00:00 12/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2267.12 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 90 ap: none t0: [23:00:00 12/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 939.125 ap: none t0: [23:00:00 12/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1132.5 ap: none
t0: [01:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [01:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [01:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [01:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [01:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [02:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [02:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [02:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/10/2013] 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 12/10/2013] tf: [20:33:00 14/10/2013] dt: 3993 id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml t0: [02:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [01:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [02:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [03:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [03:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 74.9 u1: kg st: NotStopd t0: [03:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [03:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [03:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [04:00:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.6 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [04:00:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: Plateau-Off el: 0 cu: MICU-A cg: RRT v1: Not Applicable st: NotStopd t0: [04:00:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [04:00:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [04:00:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [04:00:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.6 st: NotStopd t0: [04:00:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [04:00:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [04:00:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml t0: [04:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [04:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 11 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [02:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 12/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [02:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 12/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 12/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 12/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 12/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 12/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 12/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 12/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 12/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 12/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [04:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 12/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 12/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [04:00:00 12/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 12/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 12/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 12/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 12/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 12/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 12/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [04:00:00 12/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [04:00:00 12/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [04:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 12/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 12/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 12/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 12/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 12/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 12/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 12/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [04:30:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:30:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:30:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [04:30:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:30:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [04:30:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:30:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:30:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [04:30:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:30:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:30:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 12/10/2013] id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [04:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [04:00:00 12/10/2013] id: BSA - English el: 0 cu: MICU-A cg: RN v1: 1.21368 u1: m2 st: NotStopd t0: [04:00:00 12/10/2013] id: BSA - Metric el: 0 cu: MICU-A cg: RN v1: 1.4175 u1: m2 st: NotStopd t0: [04:00:00 12/10/2013] id: Weight Change el: 0 cu: MICU-A cg: RN v1: 0 u1: kg st: NotStopd t0: [04:00:00 12/10/2013] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [04:30:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd
t0: [05:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [05:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [05:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [05:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [05:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [06:00:00 12/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 253 rs: Manual st: NotStopd
t0: [05:41:00 12/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 96 u1: % rs: Final st: NotStopd
id: Ativan el: 101 cu: MICU-A cg: RN io: D5W 60.0ml + 60mghr Ativan IV Infusions am: 60 du: mghr rt: IV Drip
t0: [05:00:00 12/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.7 u1: % rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 174 rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.34 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 15.9 rs: Final st: NotStopd t0: [05:41:00 12/10/2013] id: CaO2 el: 0 cu: MICU-A cg: 1663 v1: 12.1836 u1: ml/dl st: NotStopd
io: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ra: 5 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 60.0ml + 60mghr Ativan IV Infusions vo: 60 du: ml rt: Intravenous Push
t0: [06:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [06:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [06:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml
t0: [06:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [07:05:00 10/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [05:00:00 12/10/2013] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 15.8 rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 28.7 rs: Final st: NotStopd
t0: [06:00:00 12/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [06:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [06:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml nb: 1
t0: [04:00:00 12/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 12/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Independent st: NotStopd t0: [06:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [05:00:00 12/10/2013] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:00:00 12/10/2013] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:00:00 12/10/2013] 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: [08:00:00 12/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 12/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 12/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [08:00:00 12/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: -1 v1: Right Posterior st: NotStopd t0: [08:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 12/10/2013] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [08:00:00 12/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 12/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 12/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 12/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 12/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [08:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 12/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 12/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 12/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 12/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 12/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 12/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 12/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 12/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [08:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [08:00:00 12/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 12/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 12/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 12/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 12/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [08:00:00 12/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [08:00:00 12/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 12/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [08:00:00 12/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 12/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 12/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 12/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 12/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 12/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd
t0: [08:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 12/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 189 vo: 60 vu: ml t0: [08:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [08:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 23 vu: ml
t0: [08:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:56:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:56:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:56:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:56:00 12/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1;1.5 st: NotStopd t0: [08:56:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:56:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:56:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:56:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [08:56:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:56:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [08:56:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [08:56:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:56:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:56:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:56:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 90 u1: % st: NotStopd t0: [08:56:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [08:56:00 12/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [08:56:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:56:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [08:56:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15 st: NotStopd t0: [08:56:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:56:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Control st: NotStopd t0: [08:56:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:56:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:37:00 12/10/2013] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 1.75905 u1: m2 t0: [09:37:00 12/10/2013] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 66.96 u1: kg t0: [09:37:00 12/10/2013] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [09:37:00 12/10/2013] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: ACUTE RENAL FAILURE t0: [09:37:00 12/10/2013] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [09:37:00 12/10/2013] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 63 u1: inches t0: [09:37:00 12/10/2013] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [09:37:00 12/10/2013] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: W t0: [09:37:00 12/10/2013] id: Religion el: 1000 cu: MICU-A cg: -1 v1: JEW t0: [09:37:00 12/10/2013] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [09:37:00 12/10/2013] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [09:37:00 12/10/2013] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [09:37:00 12/10/2013] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [10:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [10:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 61 u1: BPM st: NotStopd t0: [10:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [10:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [10:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [10:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [10:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [10:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [10:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 160 vu: ml
t0: [10:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [11:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [11:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [11:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml
t0: [11:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 12/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 305 rs: Manual st: NotStopd
t0: [12:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [12:00:00 12/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [12:00:00 12/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [12:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [12:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [12:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [12:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [12:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [12:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [12:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [12:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:38:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:38:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:38:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:38:00 12/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [12:38:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:38:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:38:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:38:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [12:38:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:38:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [12:38:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [12:38:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:38:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:38:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:38:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [12:38:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [12:38:00 12/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:"1.5 st: NotStopd t0: [12:38:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:38:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [12:38:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15 st: NotStopd t0: [12:38:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [12:38:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Control st: NotStopd t0: [12:38:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:38:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [13:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [13:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [13:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [13:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [13:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [13:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [11:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [11:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [13:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [15:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [15:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [15:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [15:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [16:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 59 u1: BPM st: NotStopd t0: [16:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [16:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [16:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 21 u1: BPM st: NotStopd t0: [16:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [14:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml t0: [16:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [16:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [16:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 95 vu: ml
t0: [15:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Supine st: NotStopd t0: [14:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Back st: NotStopd t0: [16:00:00 12/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 12/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 12/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [16:00:00 12/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: -1 v1: Right Posterior st: NotStopd t0: [16:00:00 12/10/2013] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 12/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 12/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [16:00:00 12/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 12/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [16:00:00 12/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 12/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [16:00:00 12/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [16:00:00 12/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 12/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 12/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 12/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 12/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 12/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 12/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 12/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 12/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [16:00:00 12/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 12/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [16:00:00 12/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [16:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Oral st: NotStopd t0: [16:00:00 12/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 12/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 12/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 12/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 12/10/2013] id: Behavior el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 12/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 12/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 12/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 12/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [16:00:00 12/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: -1 v1: Serous st: NotStopd
t0: [16:21:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:21:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:21:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:21:00 12/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [16:21:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:21:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:21:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:21:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [16:21:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [16:21:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.5 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [16:21:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [16:21:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:21:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:21:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:21:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [16:21:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [16:21:00 12/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [16:21:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:21:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [16:21:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.5 st: NotStopd t0: [16:21:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [16:21:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Control st: NotStopd t0: [16:21:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:21:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [17:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 60 u1: BPM st: NotStopd t0: [17:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 12/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 12/10/2013] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 105 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 12/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 12/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [17:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [17:00:00 12/10/2013] id: ROM el: 0 cu: MICU-A cg: -1 v1: Passive v2: All Extremities st: NotStopd t0: [17:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 12/10/2013] id: Skin Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [17:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [17:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 12/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 246 rs: Manual st: NotStopd
t0: [18:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [18:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [18:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [18:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 91 u1: % st: NotStopd t0: [18:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/10/2013] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 189 vo: 30 vu: ml t0: [18:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 112 vo: 80 vu: ml t0: [18:00:00 12/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: -1 vo: 50 vu: ml t0: [18:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [18:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 12/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: -1 cv: 180 ap: none
t0: [20:00:00 12/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 12/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 12/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.5 st: NotStopd t0: [20:00:00 12/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 12/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 12/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [20:00:00 12/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 12/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [20:00:00 12/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:00:00 12/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [20:00:00 12/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 12/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 12/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [20:00:00 12/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 12/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [20:00:00 12/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.7 st: NotStopd t0: [20:00:00 12/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [20:00:00 12/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [20:00:00 12/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 12/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [19:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [19:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [20:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [20:00:00 12/10/2013] 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 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml
t0: [19:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [20:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 12/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 12/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 12/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 12/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 12/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 12/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 12/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 12/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [20:00:00 12/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 12/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 12/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 12/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 12/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 12/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [20:00:00 12/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 12/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [20:00:00 12/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 12/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 12/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 12/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [20:00:00 12/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 12/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 12/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 12/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [21:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [21:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [21:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 12/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 12/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [22:00:00 12/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 12/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 12/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [22:00:00 12/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 12/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 12/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 12/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml
t0: [21:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [22:00:00 12/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 12/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 12/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 13/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 13/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 13/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 13/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 13/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 13/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [00:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [00:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 13/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 13/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 13/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 13/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [00:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [00:00:00 13/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 13/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 13/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [00:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 13/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [00:00:00 13/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 13/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 13/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 200 rs: Manual st: NotStopd t0: [00:00:00 13/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 13/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [00:00:00 13/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 13/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 13/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [00:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 13/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 100 vu: ml t0: [00:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [00:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 4.5 cv: 917 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: -1 cv: 160 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1470 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1555 ap: none
t0: [00:00:00 13/10/2013] id: Replete w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 112 vo: 80 vu: ml st: Stopped
t0: [23:00:00 13/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 4.5 cv: 4.5 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 4.5 cv: 1157 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 80 ap: none t0: [23:00:00 13/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 4.5 cv: -398 ap: none t0: [23:00:00 13/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 2.5 cv: 460 ap: none
t0: [00:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [00:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [00:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [00:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [00:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.7 st: NotStopd t0: [00:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [00:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [00:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [02:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [02:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [02:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/10/2013] 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 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [02:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [04:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [04:00:00 13/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 13/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [04:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [04:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [04:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 15.7 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [04:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 92 u1: % st: NotStopd t0: [04:00:00 13/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thin st: NotStopd t0: [04:00:00 13/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [04:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [04:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 15.7 st: NotStopd t0: [04:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [04:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [04:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:57:00 13/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [04:57:00 13/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [04:57:00 13/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 13/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 13/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.27 rs: Final st: NotStopd t0: [04:57:00 13/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 244 rs: Final st: NotStopd
t0: [05:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.8 u1: cmH2O st: NotStopd t0: [05:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [05:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [05:00:00 13/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 34 u1: cmH2O st: NotStopd t0: [05:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd
t0: [04:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd
t0: [05:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [05:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [05:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [05:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 56 u1: BPM st: NotStopd t0: [06:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [06:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [06:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 13/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [06:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [05:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip t0: [06:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 50 ap: none
t0: [06:30:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:30:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [06:30:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:30:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [06:30:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:30:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [06:30:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:30:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [06:30:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [08:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [08:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [08:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [08:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 17.8 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 8 u1: L/min st: NotStopd t0: [08:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [08:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 13/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: -1 v1: Clear v2: Thin st: NotStopd t0: [08:00:00 13/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: -1 v1: Insp. Time Fixed st: NotStopd t0: [08:00:00 13/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.5 st: NotStopd t0: [08:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: -1 v1: 1.2 u1: sec st: NotStopd t0: [08:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: -1 v1: 17.8 st: NotStopd t0: [08:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 400 u1: ml/B st: NotStopd t0: [08:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: TCPCV st: NotStopd t0: [08:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 13/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 13/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: -1 v1: 20 cm st: NotStopd t0: [08:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: -1 v1: Right Posterior st: NotStopd t0: [08:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [08:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 13/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 13/10/2013] id: GCS Total el: 0 cu: MICU-A cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 13/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [08:00:00 13/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 58 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 v1: Yes st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [08:00:00 13/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: -1 v1: Soft st: NotStopd t0: [08:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 13/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 13/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 13/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 13/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 13/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 13/10/2013] id: Motor Response el: 0 cu: MICU-A cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 13/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/10/2013] id: Orientation el: 0 cu: MICU-A cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 144 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 13/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 13/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [08:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [08:00:00 13/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 13/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: -1 v1: Regular st: NotStopd t0: [08:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 20 u1: BPM st: NotStopd t0: [08:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 13/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: -1 v1: Intact st: NotStopd t0: [08:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: -1 v1: Children st: NotStopd t0: [08:00:00 13/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 13/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [08:00:00 13/10/2013] id: Temperature F el: 0 cu: MICU-A cg: -1 v1: 97.2 u1: Deg. F st: NotStopd t0: [08:00:00 13/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 13/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: -1 v1: Present st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/10/2013] id: Braden Score el: 0 cu: MICU-A cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 13/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 13/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: -1 v1: Negative st: NotStopd t0: [08:00:00 13/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: -1 v1: Serosanguinous st: NotStopd
t0: [08:00:00 13/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [08:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 13/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 189 vo: 60 vu: ml t0: [08:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 260 vu: ml t0: [08:00:00 13/10/2013] id: Gastric Oral Gastric el: 1 cu: MICU-A cg: -1 vo: 35 vu: ml
t0: [08:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 13/10/2013] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: -1 cv: 35 ap: none
t0: [10:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd
t0: [10:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [10:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [10:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [10:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/10/2013] 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 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [10:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:30:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:30:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:30:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 49 u1: BPM st: NotStopd t0: [10:30:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:30:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:30:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:30:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:30:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [10:30:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:30:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [10:30:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 13/10/2013] 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 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [10:30:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml
t0: [10:30:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [10:30:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [11:15:00 13/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [11:15:00 13/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [11:15:00 13/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [11:15:00 13/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [11:15:00 13/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.44 rs: Final st: NotStopd t0: [11:15:00 13/10/2013] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 94 u1: % rs: Final st: NotStopd
t0: [11:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 13/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 13/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 13/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 13/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 13/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd
t0: [12:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: None st: NotStopd t0: [12:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 47 u1: BPM st: NotStopd t0: [12:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [12:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [12:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [12:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [12:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [12:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 93 u1: % st: NotStopd t0: [12:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 225 rs: Manual st: NotStopd
t0: [12:00:00 13/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 100 vu: ml t0: [12:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 15 vu: ml t0: [12:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [12:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 7.5 vu: ml t0: [12:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 60 vu: ml
t0: [12:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:16:00 13/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [12:16:00 13/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [12:16:00 13/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [12:16:00 13/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [12:16:00 13/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd
t0: [13:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [13:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.2 u1: Deg. C st: NotStopd t0: [13:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [13:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [13:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 20.5 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.1 u1: L/min st: NotStopd t0: [13:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [13:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [13:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 94 u1: % st: NotStopd t0: [13:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: -1 v1: Insp. Time Fixed st: NotStopd t0: [13:00:00 13/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.3 st: NotStopd t0: [13:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [13:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: -1 v1: 1.2 u1: sec st: NotStopd t0: [13:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: -1 v1: 20.5 st: NotStopd t0: [13:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [13:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: TCPCV st: NotStopd t0: [13:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [13:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [14:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [14:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 45 u1: BPM st: NotStopd t0: [14:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [14:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [14:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [14:00:00 13/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 13/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 13/10/2013] id: Oral Care el: 0 cu: MICU-A cg: -1 v1: Done st: NotStopd t0: [14:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 94 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [14:00:00 13/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 13/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [14:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [14:00:00 13/10/2013] id: ROM el: 0 cu: MICU-A cg: -1 v1: Passive v2: All Extremities st: NotStopd t0: [14:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 13/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [14:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 120 vu: ml
t0: [14:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:36:00 13/10/2013] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [14:36:00 13/10/2013] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [14:36:00 13/10/2013] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [14:36:00 13/10/2013] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [14:36:00 13/10/2013] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [15:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 45 u1: BPM st: NotStopd t0: [15:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 89 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [15:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [15:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [15:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [15:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [15:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:10:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:10:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:10:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:10:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 48 u1: BPM st: NotStopd t0: [15:10:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:10:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [15:10:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg st: NotStopd t0: [15:10:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:10:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [15:10:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:10:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:10:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:10:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 11.6667 vu: ml t0: [15:10:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5.83333 vu: ml t0: [15:10:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5.83333 vu: ml
t0: [15:10:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:10:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:10:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:10:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd
t0: [15:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [15:15:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:15:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:15:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:15:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM st: NotStopd t0: [15:15:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [15:15:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:15:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [15:15:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:15:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [15:15:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:15:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:15:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:15:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 45 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 v1: 33.6 u1: Deg. C st: NotStopd t0: [16:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 v1: 5 st: NotStopd t0: [16:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 v1: 20.4 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [16:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 34 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: -1 v1: No st: NotStopd t0: [16:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: -1 v1: Insp. Time Fixed st: NotStopd t0: [16:00:00 13/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: -1 v1: 1:1.3 st: NotStopd t0: [16:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [16:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: -1 v1: 1.2 u1: sec st: NotStopd t0: [16:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: -1 v1: 20.4 st: NotStopd t0: [16:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [16:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 v1: TCPCV st: NotStopd t0: [16:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 v1: RAMP st: NotStopd
t0: [16:00:00 13/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 13/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [16:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 13/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 13/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 13/10/2013] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 13/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [16:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [16:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 13/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 13/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 13/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [16:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [16:00:00 13/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 13/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [16:00:00 13/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [16:00:00 13/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 13/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [16:00:00 13/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 13/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 13/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 13/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 13/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 13/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [16:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.08333 vu: ml t0: [16:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.08333 vu: ml t0: [16:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [16:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [17:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 13/10/2013] id: Activity el: 0 cu: MICU-A cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 13/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 13/10/2013] id: Position el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 13/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 13/10/2013] id: Turn el: 0 cu: MICU-A cg: -1 v1: Left Side st: NotStopd
t0: [18:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: -1 v1: Rare st: NotStopd t0: [18:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: -1 v1: 48 u1: BPM st: NotStopd t0: [18:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: -1 v1: Sinus Brady st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: -1 v1: 10 v2: 3 st: NotStopd t0: [18:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: -1 v1: WNL st: NotStopd t0: [18:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 v1: Sharp st: NotStopd t0: [18:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: -1 v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [18:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: -1 v1: Universal st: NotStopd t0: [18:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: -1 v1: 75.3 u1: kg st: NotStopd t0: [18:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml t0: [18:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 8 vu: ml
t0: [18:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [18:00:00 13/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: -1 v1: 240 rs: Manual st: NotStopd
t0: [18:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: -1 vo: 100 vu: ml
t0: [20:00:00 13/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 13/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [20:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 13/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 13/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 13/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [20:00:00 13/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 47 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 13/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 13/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 13/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 13/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 13/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [20:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [20:00:00 13/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [20:00:00 13/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 13/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [20:00:00 13/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [20:00:00 13/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 13/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/10/2013] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 13/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 13/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 13/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 13/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [20:00:00 13/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [20:00:00 13/10/2013] 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 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [20:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [20:00:00 13/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 13/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 13/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 13/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 13/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [20:00:00 13/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 13/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [20:00:00 13/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 13/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [20:00:00 13/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [20:00:00 13/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [20:00:00 13/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 13/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 13/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.4 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [20:00:00 13/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 13/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.4 st: NotStopd t0: [20:00:00 13/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 440 u1: ml/B st: NotStopd
t0: [20:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:05:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:05:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:05:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:05:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 49 u1: BPM st: NotStopd t0: [20:05:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:05:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [20:05:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [20:05:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:05:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [20:05:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:05:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:05:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:05:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [20:05:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:00:00 13/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [22:00:00 13/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [22:00:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 13/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [22:00:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [22:00:00 13/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [22:00:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [22:00:00 13/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 13/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 13/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [22:00:00 13/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [22:00:00 13/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [22:00:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [22:15:00 13/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:15:00 13/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 13/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:15:00 13/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [22:15:00 13/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [22:15:00 13/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [22:15:00 13/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [22:15:00 13/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:15:00 13/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [22:15:00 13/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:15:00 13/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [22:15:00 13/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 13/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [22:15:00 13/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml t0: [22:15:00 13/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 1 vu: ml
t0: [22:15:00 13/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [22:15:00 13/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 13/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [00:00:00 14/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 14/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 14/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 14/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [00:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 14/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 14/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 14/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 14/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [00:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 46 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [00:00:00 14/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 14/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [00:00:00 14/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 14/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 14/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 14/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 14/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 14/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/10/2013] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 75.3 u1: kg st: NotStopd t0: [00:00:00 14/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 14/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 14/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 14/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [00:00:00 14/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [00:00:00 14/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [00:00:00 14/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 14/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 14/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 14/10/2013] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 196 rs: Manual st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 14/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 14/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 14/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 14/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 14/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 17.5 vu: ml t0: [00:00:00 14/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 100 vu: ml t0: [00:00:00 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [00:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7 vu: ml t0: [00:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [00:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/10/2013] dt: 1 id: Total Hourly Output el: 2 cu: -1 cg: RRT cv: 0 ap: none t0: [23:00:00 14/10/2013] dt: 1 id: Net Hourly Balance el: 2 cu: -1 cg: RRT cv: 0 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: IV Infusion In Total el: 2 cu: -1 cg: RRT cv: 383.5 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: 24h Total In el: 2 cu: -1 cg: RRT cv: 543.5 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 160 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: Urine Out Total el: 2 cu: -1 cg: RRT cv: 910 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: 24h Net Body Balance el: 2 cu: -1 cg: RRT cv: -396.5 ap: none t0: [23:00:00 14/10/2013] dt: 24 id: 24h Total Out el: 2 cu: -1 cg: RRT cv: 940 ap: none t0: [23:00:00 14/10/2013] dt: multiple days id: LOS Net Body Balance el: 2 cu: -1 cg: RRT cv: -62.5 ap: none
t0: [00:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 14/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 14/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [00:00:00 14/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 14/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.4 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [00:00:00 14/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [00:00:00 14/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:00:00 14/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [00:00:00 14/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 14/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [00:00:00 14/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.4 st: NotStopd t0: [00:00:00 14/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [00:00:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [00:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 13/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 14/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 14/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [04:00:00 14/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 14/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.4 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [04:00:00 14/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [04:00:00 14/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [04:00:00 14/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [04:00:00 14/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 14/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [04:00:00 14/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.4 st: NotStopd t0: [04:00:00 14/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: TCPCV st: NotStopd t0: [04:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 47 u1: BPM st: NotStopd t0: [02:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [02:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 14/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 14/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 14/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [04:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 14/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 14/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 14/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 14/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [04:00:00 14/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 47 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 14/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 14/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [04:00:00 14/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 14/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 14/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 14/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 14/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 14/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 14/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [04:00:00 14/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [04:00:00 14/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [04:00:00 14/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 14/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 14/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 14/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 14/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 14/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [04:00:00 14/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 40 vu: ml t0: [04:00:00 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16 vu: ml t0: [04:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16 vu: ml t0: [04:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [02:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip t0: [04:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [05:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd
t0: [05:00:00 14/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 215 rs: Manual st: NotStopd t0: [06:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [06:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [06:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [06:00:00 14/10/2013] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [06:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [06:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [23:00:00 14/10/2013] dt: 24 id: Chest Tube Out Total el: 2 cu: -1 cg: RN cv: 30 ap: none
t0: [04:20:00 14/10/2013] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 108 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 215 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27 u1: % rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 170 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.05 u1: /mic l rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 144 rs: Final st: NotStopd t0: [04:20:00 14/10/2013] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.4 rs: Final st: NotStopd
t0: [08:00:00 14/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 14/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 14/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 14/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [08:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 14/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 14/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 14/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 14/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 14/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 44 u1: BPM st: NotStopd t0: [08:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 14/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/10/2013] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [08:00:00 14/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 14/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [08:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [08:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 2 st: NotStopd t0: [08:00:00 14/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 14/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 14/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 14/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 14/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 14/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 14/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 14/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 14/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: None st: NotStopd t0: [08:00:00 14/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [08:00:00 14/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.2778 u1: Deg. C st: NotStopd t0: [08:00:00 14/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.5 u1: Deg. F st: NotStopd t0: [08:00:00 14/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 14/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: 7200A st: NotStopd t0: [08:00:00 14/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 14/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 14/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 14/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 14/10/2013] 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 14/10/2013] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 189 vo: 60 vu: ml t0: [08:00:00 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [08:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [08:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [08:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [08:18:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:18:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [08:18:00 14/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:18:00 14/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [08:18:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:18:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:18:00 14/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [08:18:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [08:18:00 14/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:18:00 14/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.5 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [08:18:00 14/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [08:18:00 14/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:18:00 14/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:18:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:18:00 14/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [08:18:00 14/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [08:18:00 14/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [08:18:00 14/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:18:00 14/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [08:18:00 14/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.5 st: NotStopd t0: [08:18:00 14/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [08:18:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Control st: NotStopd t0: [08:18:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [08:18:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 45 u1: BPM st: NotStopd t0: [10:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [10:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [10:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 14/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [10:00:00 14/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: None st: NotStopd t0: [10:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/10/2013] 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 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [10:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8 vu: ml t0: [10:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [10:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:00:00 14/10/2013] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 14/10/2013] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 14/10/2013] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 14/10/2013] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Posterior st: NotStopd t0: [12:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/10/2013] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 14/10/2013] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 14/10/2013] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 14/10/2013] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 14/10/2013] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 14/10/2013] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [12:00:00 14/10/2013] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 44 u1: BPM st: NotStopd t0: [12:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#2 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#3 Site Date el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 14/10/2013] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/10/2013] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 14/10/2013] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 14/10/2013] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [12:00:00 14/10/2013] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/10/2013] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/10/2013] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/10/2013] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 14/10/2013] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2013] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 14/10/2013] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 14/10/2013] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 14/10/2013] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 14/10/2013] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [12:00:00 14/10/2013] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/10/2013] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 14/10/2013] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/10/2013] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 14/10/2013] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 14/10/2013] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 14/10/2013] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 14/10/2013] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 14/10/2013] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: None st: NotStopd t0: [12:00:00 14/10/2013] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Children st: NotStopd t0: [12:00:00 14/10/2013] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 14/10/2013] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [12:00:00 14/10/2013] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [12:00:00 14/10/2013] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 14/10/2013] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 14/10/2013] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 14/10/2013] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/10/2013] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 14/10/2013] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 14/10/2013] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 14/10/2013] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 14/10/2013] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [12:00:00 14/10/2013] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [12:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [12:40:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:40:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.65 u1: torr st: NotStopd t0: [12:40:00 14/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [12:40:00 14/10/2013] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [12:40:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:40:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:40:00 14/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [12:40:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [12:40:00 14/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:40:00 14/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 17.7 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [12:40:00 14/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [12:40:00 14/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:40:00 14/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:40:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:40:00 14/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [12:40:00 14/10/2013] id: TCPCV Fixed I Time el: 0 cu: MICU-A cg: RRT v1: Insp. Time Fixed st: NotStopd t0: [12:40:00 14/10/2013] id: TCPCV I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:1.3 st: NotStopd t0: [12:40:00 14/10/2013] id: TCPCV Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [12:40:00 14/10/2013] id: TCPCV Insp. Time el: 0 cu: MICU-A cg: RRT v1: 1.2 u1: sec st: NotStopd t0: [12:40:00 14/10/2013] id: TCPCV-MAP el: 0 cu: MICU-A cg: RRT v1: 17.7 st: NotStopd t0: [12:40:00 14/10/2013] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [12:40:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Control st: NotStopd t0: [12:40:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [12:40:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [12:00:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd
t0: [14:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [14:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [14:00:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [14:00:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [14:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [14:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 44 u1: BPM st: NotStopd t0: [14:00:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Sinus Brady st: NotStopd t0: [14:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [14:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [14:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [14:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 13 u1: BPM st: NotStopd t0: [14:00:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [14:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 89 u1: % st: NotStopd t0: [14:00:00 14/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [14:00:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [14:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [14:00:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [14:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/10/2013] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RRT ai: 107 vo: 40 vu: ml t0: [14:00:00 14/10/2013] id: D5W 60.0ml + 60mghr Ativan IV Infusions el: 1 cu: MICU-A cg: RRT ai: 107 vo: 16 vu: ml t0: [14:00:00 14/10/2013] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RRT ai: 107 vo: 16 vu: ml t0: [14:00:00 14/10/2013] id: Urine Out Foley el: 1 cu: MICU-A cg: RRT vo: 80 vu: ml
t0: [14:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 6 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RRT so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 4 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:15:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:15:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 44 u1: BPM st: NotStopd t0: [14:15:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:15:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:15:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:15:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:15:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 87 u1: % st: NotStopd t0: [14:15:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 52 u1: BPM st: NotStopd t0: [14:30:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:30:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:30:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:30:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:45:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:45:00 14/10/2013] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:45:00 14/10/2013] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:45:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [14:45:00 14/10/2013] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [14:45:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:45:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [14:45:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:45:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:45:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 50 u1: % st: NotStopd t0: [14:45:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:15:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:15:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:30:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 20 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip t0: [14:45:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mghr sv: 100 su: ml rt: IV Drip t0: [14:45:00 14/10/2013] id: Neosynephrine el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip
t0: [14:30:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 55 u1: % st: NotStopd
t0: [15:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [15:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 57 u1: % st: NotStopd t0: [15:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 25 du: mghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip
t0: [16:00:00 14/10/2013] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 10.2564 u1: ml/cmH st: NotStopd t0: [16:00:00 14/10/2013] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 14/10/2013] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.21 u1: torr st: NotStopd t0: [16:00:00 14/10/2013] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 60 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2013] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 14/10/2013] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 14/10/2013] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [16:00:00 14/10/2013] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 10 v2: 2 st: NotStopd t0: [16:00:00 14/10/2013] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 2 st: NotStopd t0: [16:00:00 14/10/2013] id: Low Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2013] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6 u1: L/min st: NotStopd t0: [16:00:00 14/10/2013] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2013] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 39 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2013] id: Remote Alarm el: 0 cu: MICU-A cg: RRT v1: No st: NotStopd t0: [16:00:00 14/10/2013] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 82 u1: % st: NotStopd t0: [16:00:00 14/10/2013] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 14/10/2013] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 14/10/2013] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 14/10/2013] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 46 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:00:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 40 u1: mmHg st: NotStopd t0: [16:00:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 14/10/2013] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 14/10/2013] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:30:00 14/10/2013] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [16:30:00 14/10/2013] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:30:00 14/10/2013] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 14/10/2013] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:30:00 14/10/2013] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 82 u1: % st: NotStopd t0: [16:30:00 14/10/2013] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip t0: [16:30:00 14/10/2013] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 30 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:30:00 14/10/2013] id: Ativan el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 12 du: mghr sv: 60 su: ml rt: IV Drip