This log is also available as text (s24924.txt) and as a (binary) annotation file (s24924.log).
Generated: Monday, 07-Jun-2010 13:20:44 EDT
(All dates below are surrogates.)
t0: [02:46:16 11/04/2014] tf: [16:55:13 14/04/2014] id: a40051 [view]
t0: [21:59:59 10/04/2014] tf: [16:52:59 14/04/2014] id: a40051n [view]
dd: 25000 ds: 9 ld: DIABETES MELLITUS W/OUT dd: 2800 ds: 7 ld: CHR BLOOD LOSS ANEMIA dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 41071 ds: 1 ld: AMI, SUBENDOCARD INFARCT dd: 41401 ds: 2 ld: CORON ATHEROSCLER NATIVE dd: 4280 ds: 3 ld: CONGESTIVE HEART FAILURE dd: 49121 ds: 4 ld: OBSTRUCTIVE CHRONIC BRON dd: 51881 ds: 6 ld: RESPIRATORY FAILURE dd: 99811 ds: 5 ld: HEMORR COMPLIC PROCEDURE
t0: [01:19:00 11/04/2014] id: BSA el: 1033 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Admit Wt el: 1032 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Allergy 1 el: 1020 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Diagnosis/op el: 1023 cu: CCU cg: 8 v1: CORONARY ARTERY DISEASE t0: [01:19:00 11/04/2014] id: Service el: 1026 cu: CCU cg: 8 v1: MED t0: [01:19:00 11/04/2014] id: Admit Ht el: 1034 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Readmission el: 1014 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Marital Status el: 1006 cu: CCU cg: 8 v1: S t0: [01:19:00 11/04/2014] id: Religion el: 1000 cu: CCU cg: 8 v1: NSP t0: [01:19:00 11/04/2014] id: Allergy 2 el: 1021 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Ext el: 1010 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: PIN el: 1012 cu: CCU cg: 8 t0: [01:19:00 11/04/2014] id: Allergy 3 el: 1022 cu: CCU cg: 8
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [16:58:00 14/04/2014] dt: 5258 cu: CCU de: FA2
id: Midazolam el: 100 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip id: Nitroglycerine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions am: 100 du: mcgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions vo: 250 du: ml rt: Intravenous Push id: Gastric Meds el: 1 cu: CCU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push id: Pre-Admission Intake el: 1 cu: CCU cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push id: TF Residual el: 1 cu: CCU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 20.2952 u1: ml/cmH st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: FIO2 Alarm-High el: 0 cu: CCU cg: -1 v1: 50 u1: decFrc st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 v1: 30 u1: decFrc st: NotStopd t0: [02:45:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5173 id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: % Inspir. Time el: 0 cu: CCU cg: -1 v1: 33% st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.0 mm st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [02:45:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5173 id: Intubation Date el: 0 cu: CCU cg: -1 v1: 2 v2: 28 st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 12.6 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.1 u1: L/min st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Pause Time % el: 0 cu: CCU cg: -1 v1: 0% st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 v1: 19.697 u1: lpm st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 32.1 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 22.7 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [02:45:00 11/04/2014] tf: [04:00:00 11/04/2014] dt: 75 id: Remote Alarm el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:45:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5173 id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 551 u1: ml/B st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 547 u1: ml/B st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 7 u1: # st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Ventilator Type el: 0 cu: CCU cg: -1 v1: Servo 900c st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: SQUARE st: NotStopd t0: [02:45:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1995 id: Working Pressure el: 0 cu: CCU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [03:00:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [03:00:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [03:00:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.6 u1: L/min st: NotStopd t0: [03:00:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 32.6 u1: cmH2O st: NotStopd t0: [03:00:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [03:00:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:00:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:00:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Heart Rate el: 0 cu: CCU cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [03:00:00 11/04/2014] tf: [06:00:00 12/04/2014] dt: 1620 id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [03:00:00 11/04/2014] tf: [07:00:00 13/04/2014] dt: 3120 id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [03:00:00 11/04/2014] tf: [07:00:00 13/04/2014] dt: 3120 id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [03:00:00 11/04/2014] tf: [06:00:00 12/04/2014] dt: 1620 id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [03:00:00 11/04/2014] tf: [06:00:00 12/04/2014] dt: 1620 id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/04/2014] tf: [07:00:00 13/04/2014] dt: 3120 id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [03:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [03:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 11/04/2014] tf: [04:30:00 11/04/2014] dt: 90 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [03:32:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5126 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Pre-Admission Intake Pre-Admission Intake el: 1 cu: CCU cg: RN ai: 189 vo: 1990 vu: ml t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Pre-Admission Output Pre-Admission Output el: 1 cu: CCU cg: RN vo: 1000 vu: ml
t0: [04:00:00 11/04/2014] id: Remote Alarm el: 0 cu: CCU cg: -1 st: D/C'd
t0: [04:00:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.1538 u1: ml/cmH st: NotStopd t0: [04:00:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 11/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [04:00:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [04:00:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: RRT v1: 33% st: NotStopd t0: [04:00:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:00:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [04:00:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [04:00:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.1 u1: L/min st: NotStopd t0: [04:00:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: RRT v1: 0% st: NotStopd t0: [04:00:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: RRT v1: 33.3333 u1: lpm st: NotStopd t0: [04:00:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [04:00:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd t0: [04:00:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: SQUARE st: NotStopd t0: [04:00:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.7 u1: % rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd
t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [04:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/04/2014] tf: [20:00:00 12/04/2014] dt: 2400 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 11/04/2014] tf: [00:00:00 13/04/2014] dt: 2640 id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [04:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 18 vu: ml t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 5 vu: ml
t0: [04:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5098 id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 41 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 64 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 228 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.8 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 15.4 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 150 rs: Final st: NotStopd
t0: [04:30:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1000 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 77 rs: Final st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 157 rs: Final st: NotStopd
t0: [05:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [05:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [05:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 24 vu: ml
t0: [05:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5008 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:14:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4964 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [03:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5158 id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Absent v2: Easily Palpable st: NotStopd t0: [06:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 11/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 11/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 50 u1: BPM st: NotStopd t0: [06:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [06:00:00 11/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 11/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 11/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 11/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 19 vu: ml t0: [06:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [06:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml t0: [06:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml
t0: [06:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4978 id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Albuterol st: NotStopd t0: [06:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4978 id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Atrovent st: NotStopd
id: Packed RBC's el: 1 cu: CCU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [07:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 48 u1: BPM st: NotStopd t0: [07:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [07:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 11/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [07:00:00 11/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [07:00:00 11/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [07:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/04/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 153 vu: ml nb: 1
t0: [07:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 19.6429 u1: ml/cmH st: NotStopd t0: [08:00:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [08:00:00 11/04/2014] tf: [12:00:00 12/04/2014] dt: 1680 id: FiO2 (Analyzed) el: 0 cu: CCU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [08:00:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [08:00:00 11/04/2014] id: FiO2 (Analyzed) el: 0 cu: CCU cg: -1 v1: 0.39 u1: torr st: NotStopd t0: [08:00:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: -1 v1: 33% st: NotStopd t0: [08:00:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.0 mm st: NotStopd t0: [08:00:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:00:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 2 v2: 28 st: NotStopd t0: [08:00:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [08:00:00 11/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [08:00:00 11/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [08:00:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [08:00:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.2 u1: L/min st: NotStopd t0: [08:00:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: -1 v1: 0% st: NotStopd t0: [08:00:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 v1: 33.3333 u1: lpm st: NotStopd t0: [08:00:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [08:00:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd t0: [08:00:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 7 u1: # st: NotStopd t0: [08:00:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: Servo 900c st: NotStopd t0: [08:00:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: SQUARE st: NotStopd t0: [08:00:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [08:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [08:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [08:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [08:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [08:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [08:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [08:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:35:00 11/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [09:35:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4763 id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.9907 u1: ml/dl st: NotStopd t0: [09:35:00 11/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 277 u1: mmHg rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33 u1: % rs: Final st: NotStopd t0: [09:35:00 11/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [09:35:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4763 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [10:30:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 21.0728 u1: ml/cmH st: NotStopd t0: [10:30:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [10:30:00 11/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [10:30:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [10:30:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [10:30:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: -1 v1: 33% st: NotStopd t0: [10:30:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.0 mm st: NotStopd t0: [10:30:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [10:30:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.1 u1: Deg. C st: NotStopd t0: [10:30:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 2 v2: 28 st: NotStopd t0: [10:30:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [10:30:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.3 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [10:30:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9 u1: L/min st: NotStopd t0: [10:30:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: -1 v1: 0% st: NotStopd t0: [10:30:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 v1: 33.3333 u1: lpm st: NotStopd t0: [10:30:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 31.1 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 24.2 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [10:30:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [10:30:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [10:30:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [10:30:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [10:30:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [10:30:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 600 u1: ml/B st: NotStopd t0: [10:30:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [10:30:00 11/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [10:30:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd t0: [10:30:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 7 u1: # st: NotStopd t0: [10:30:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: Servo 900c st: NotStopd t0: [10:30:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: SQUARE st: NotStopd t0: [10:30:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 395 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 207 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 115 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Cholesterol (<200) Chemistry el: 0 cu: CCU cg: 140 v1: 175 u1: mg/dl rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd t0: [03:20:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 5138 id: Triglyceride (0-200) Chemistry el: 0 cu: CCU cg: 140 v1: 88 rs: Final st: NotStopd
t0: [10:30:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [10:30:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [10:30:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 157 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:30:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:30:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:30:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 49 u1: BPM st: NotStopd t0: [11:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 161 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [11:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 24 vu: ml t0: [11:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18 vu: ml t0: [11:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [11:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml
t0: [11:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 11/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 11/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 11/04/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [08:00:00 11/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 11/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 11/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 11/04/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [08:00:00 11/04/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [08:00:00 11/04/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/04/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/04/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:00:00 11/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 11/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 11/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd
t0: [12:10:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 19.2308 u1: ml/cmH st: NotStopd t0: [12:10:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [12:10:00 11/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [12:10:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [12:10:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:10:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: -1 v1: 33% st: NotStopd t0: [12:10:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.0 mm st: NotStopd t0: [12:10:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:10:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.3 u1: Deg. C st: NotStopd t0: [12:10:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 2 v2: 28 st: NotStopd t0: [12:10:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [12:10:00 11/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [12:10:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4608 id: MDI #3 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [12:10:00 11/04/2014] id: MDI #3 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 2 v2: Serevent st: NotStopd t0: [12:10:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9.3 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [12:10:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.5 u1: L/min st: NotStopd t0: [12:10:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: -1 v1: 0% st: NotStopd t0: [12:10:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 v1: 33.3333 u1: lpm st: NotStopd t0: [12:10:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 33.6 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [12:10:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [12:10:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:10:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:10:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:10:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:10:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:10:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 562 u1: ml/B st: NotStopd t0: [12:10:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [12:10:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd t0: [12:10:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 7 u1: # st: NotStopd t0: [12:10:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: Servo 900c st: NotStopd t0: [12:10:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: SQUARE st: NotStopd t0: [12:10:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [12:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 52 u1: BPM st: NotStopd t0: [12:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 152 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [12:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 11/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 11/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [12:00:00 11/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [12:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 11/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 52 u1: BPM st: NotStopd t0: [13:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 155 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [13:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [13:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [13:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [11:00:00 11/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 11/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 11/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 11/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 11/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [13:00:00 11/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [13:00:00 11/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd
t0: [14:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 51 u1: BPM st: NotStopd t0: [14:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [14:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [14:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [14:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 11/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [14:00:00 11/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.0556 u1: Deg. C st: NotStopd t0: [14:00:00 11/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 95.1 u1: Deg. F st: NotStopd t0: [14:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 11/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [11:00:00 11/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [14:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [14:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [14:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml
t0: [16:00:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 21.2355 u1: ml/cmH st: NotStopd t0: [16:00:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 22cm v2: Lip st: NotStopd t0: [16:00:00 11/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: -1 v1: 45 u1: decFrc st: NotStopd t0: [16:00:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 v1: 35 u1: decFrc st: NotStopd t0: [16:00:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: -1 v1: 33% st: NotStopd t0: [16:00:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.0 mm st: NotStopd t0: [16:00:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [16:00:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 2 v2: 28 st: NotStopd t0: [16:00:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [16:00:00 11/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Albuterol st: NotStopd t0: [16:00:00 11/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: -1 v1: 4 v2: Atrovent st: NotStopd t0: [16:00:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8.9 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [16:00:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.2 u1: L/min st: NotStopd t0: [16:00:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: -1 v1: 0% st: NotStopd t0: [16:00:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 v1: 33.3333 u1: lpm st: NotStopd t0: [16:00:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 30.9 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [16:00:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 545 u1: ml/B st: NotStopd t0: [16:00:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [16:00:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: SIMV+PS st: NotStopd t0: [16:00:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 7 u1: # st: NotStopd t0: [16:00:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: Servo 900c st: NotStopd t0: [16:00:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: SQUARE st: NotStopd t0: [16:00:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [16:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [16:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [16:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/04/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/04/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 11/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4318 id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [17:00:00 11/04/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Positive v2: 4 st: NotStopd t0: [17:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 54 u1: BPM st: NotStopd t0: [17:00:00 11/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 11/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [17:00:00 11/04/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [17:00:00 11/04/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 11/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [17:00:00 11/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [17:00:00 11/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [17:00:00 11/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [17:00:00 11/04/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [17:00:00 11/04/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd t0: [17:00:00 11/04/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 11/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [17:00:00 11/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 11/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 148 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 11/04/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [17:00:00 11/04/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 11/04/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [17:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 11/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 11/04/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 11/04/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 11/04/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [17:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [17:00:00 11/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [17:00:00 11/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [17:00:00 11/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 11/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 11/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 11/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 11/04/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [17:00:00 11/04/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18 vu: ml t0: [17:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [17:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml
t0: [16:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 11/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [17:00:00 11/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 11/04/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:00:00 11/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 11/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 11/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [17:00:00 11/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [17:00:00 11/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
io: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 150 ru: ml/hr
id: .45% Normal Saline el: 1 cu: CCU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [17:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [18:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [18:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [18:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml
t0: [18:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 11/04/2014] tf: [21:00:00 11/04/2014] dt: 180 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vu: ml nb: 1 t0: [17:00:00 11/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [18:00:00 11/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml t0: [18:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
id: .45% Normal Saline el: 2 cu: CCU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 11/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: rrt v1: 20.073 u1: ml/cmH st: NotStopd t0: [20:00:00 11/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: rrt v1: 22cm v2: Lip st: NotStopd t0: [20:00:00 11/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: rrt v1: 40 u1: decFrc st: NotStopd t0: [20:00:00 11/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: rrt v1: 25 u1: decFrc st: NotStopd t0: [20:00:00 11/04/2014] id: FiO2 Set el: 0 cu: CCU cg: rrt v1: 0.3 u1: torr st: NotStopd t0: [20:00:00 11/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: rrt v1: 33% st: NotStopd t0: [20:00:00 11/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2014] id: Airway Size el: 0 cu: CCU cg: rrt v1: 7.0 mm st: NotStopd t0: [20:00:00 11/04/2014] id: Airway Type el: 0 cu: CCU cg: rrt v1: Endotracheal st: NotStopd t0: [20:00:00 11/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: rrt v1: 33.3 u1: Deg. C st: NotStopd t0: [20:00:00 11/04/2014] id: Intubation Date el: 0 cu: CCU cg: rrt v1: 2 v2: 28 st: NotStopd t0: [20:00:00 11/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: rrt v1: 3 st: NotStopd t0: [20:00:00 11/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: rrt v1: 4 v2: Albuterol st: NotStopd t0: [20:00:00 11/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: rrt v1: 4 v2: Atrovent st: NotStopd t0: [20:00:00 11/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: rrt v1: 8.8 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: rrt v1: 7 u1: L/min st: NotStopd t0: [20:00:00 11/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: rrt v1: 33.2 u1: L/min st: NotStopd t0: [20:00:00 11/04/2014] id: PEEP Set el: 0 cu: CCU cg: rrt v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2014] id: Pause Time % el: 0 cu: CCU cg: rrt v1: 0% st: NotStopd t0: [20:00:00 11/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: rrt v1: 21.2121 u1: lpm st: NotStopd t0: [20:00:00 11/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: rrt v1: 32.4 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2014] id: Plateau-Off el: 0 cu: CCU cg: rrt v1: Yes st: NotStopd t0: [20:00:00 11/04/2014] id: Pressure Support el: 0 cu: CCU cg: rrt v1: 10 u1: . st: NotStopd t0: [20:00:00 11/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: rrt v1: 2 u1: BPM st: NotStopd t0: [20:00:00 11/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: rrt v1: 14 u1: BPM st: NotStopd t0: [20:00:00 11/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [20:00:00 11/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: rrt v1: 100 u1: % st: NotStopd t0: [20:00:00 11/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: rrt v1: 535 u1: ml/B st: NotStopd t0: [20:00:00 11/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: rrt v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 11/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: rrt v1: SIMV+PS st: NotStopd t0: [20:00:00 11/04/2014] id: Ventilator No. el: 0 cu: CCU cg: rrt v1: 7 u1: # st: NotStopd t0: [20:00:00 11/04/2014] id: Ventilator Type el: 0 cu: CCU cg: rrt v1: Servo 900c st: NotStopd t0: [20:00:00 11/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: rrt v1: SQUARE st: NotStopd t0: [20:00:00 11/04/2014] id: Working Pressure el: 0 cu: CCU cg: rrt v1: 70 u1: cmH2O st: NotStopd
t0: [19:00:00 11/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 11/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 11/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 11/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 53 u1: BPM st: NotStopd t0: [20:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [20:00:00 11/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 11/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 11/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [20:00:00 11/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 11/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 11/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 11/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [20:00:00 11/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [20:00:00 11/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [20:00:00 11/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [20:00:00 11/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 300 vu: ml t0: [20:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [20:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [20:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:38:00 11/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [20:38:00 11/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [20:38:00 11/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [20:38:00 11/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [20:38:00 11/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [20:38:00 11/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd
t0: [20:00:00 11/04/2014] tf: [16:58:00 14/04/2014] dt: 4138 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 260 rs: Manual st: NotStopd
t0: [11:00:00 11/04/2014] tf: [20:00:00 13/04/2014] dt: 3420 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 375 vu: ml t0: [16:00:00 11/04/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 153 vu: ml t0: [16:00:00 11/04/2014] tf: [02:00:00 13/04/2014] dt: 2040 id: .45% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 600 vu: ml
t0: [20:48:00 11/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.3 u1: % rs: Final st: NotStopd
t0: [23:00:00 11/04/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: 140 cv: 375 ap: none
t0: [20:48:00 11/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.4 rs: Final st: NotStopd
t0: [20:48:00 11/04/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 65 rs: Final st: NotStopd
t0: [21:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [21:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [21:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 11/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 11/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [22:00:00 11/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 158 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 11/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [22:00:00 11/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 11/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 11/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/04/2014] tf: [14:00:00 12/04/2014] dt: 1320 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [20:00:00 11/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 45 vu: ml t0: [21:00:00 11/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 150 vu: ml st: Stopped t0: [22:00:00 11/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [22:00:00 11/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [22:00:00 11/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [21:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 11/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 11/04/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 11/04/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1446 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 3886 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 75 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 812 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 2074 ap: none t0: [23:00:00 11/04/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1812 ap: none t0: [23:00:00 11/04/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 2074 ap: none
t0: [00:00:00 12/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [00:00:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [00:00:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [00:00:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 25 u1: decFrc st: NotStopd t0: [00:00:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [00:00:00 12/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: RRT v1: 33% st: NotStopd t0: [00:00:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [00:00:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 12/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [00:00:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 12/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [00:00:00 12/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [00:00:00 12/04/2014] id: MDI #3 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 2 v2: Serevent st: NotStopd t0: [00:00:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.2 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:00:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [00:00:00 12/04/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: Pause Time % el: 0 cu: CCU cg: RRT v1: 0% st: NotStopd t0: [00:00:00 12/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: RRT v1: 33.3333 u1: lpm st: NotStopd t0: [00:00:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:00:00 12/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 12/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:00:00 12/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 556 u1: ml/B st: NotStopd t0: [00:00:00 12/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 12/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 270 u1: ml/B st: NotStopd t0: [00:00:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [00:00:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 12/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: SQUARE st: NotStopd t0: [00:00:00 12/04/2014] id: Working Pressure el: 0 cu: CCU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [00:00:00 12/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 12/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [01:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18 vu: ml t0: [01:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [01:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml
t0: [00:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [02:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [02:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [02:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml
t0: [02:44:00 12/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.6566 u1: ml/dl st: NotStopd t0: [02:44:00 12/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 126 u1: mmHg rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [02:44:00 12/04/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 99 u1: % rs: Final st: NotStopd
t0: [02:45:00 12/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5.4 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.1 u1: % rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.5 u1: gm/dl rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.65 u1: /mic l rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5.4 rs: Final st: NotStopd
t0: [02:45:00 12/04/2014] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 364 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 122 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 121 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 46 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 287 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.5 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.4 rs: Final st: NotStopd
t0: [02:45:00 12/04/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 170 rs: Final st: NotStopd
t0: [03:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [03:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [04:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [04:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [02:45:00 12/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [02:45:00 12/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 44 rs: Final st: NotStopd
t0: [04:00:00 12/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [04:00:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [04:00:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 35 u1: decFrc st: NotStopd t0: [04:00:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 25 u1: decFrc st: NotStopd t0: [04:00:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [04:00:00 12/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: RRT v1: 33% st: NotStopd t0: [04:00:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [04:00:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 12/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [04:00:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [04:00:00 12/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [04:00:00 12/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [04:00:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [04:00:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 12/04/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2014] id: Pause Time % el: 0 cu: CCU cg: RRT v1: 0% st: NotStopd t0: [04:00:00 12/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: RRT v1: 33.3333 u1: lpm st: NotStopd t0: [04:00:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 12/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [04:00:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 12/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 12/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 12/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 12/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [04:00:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [04:00:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd t0: [04:00:00 12/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: SQUARE st: NotStopd t0: [04:00:00 12/04/2014] id: Working Pressure el: 0 cu: CCU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [06:00:00 12/04/2014] id: IV #3 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [06:00:00 12/04/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [06:00:00 12/04/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [06:00:00 12/04/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [04:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 12/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [04:00:00 12/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 12/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 160 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [06:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [06:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [06:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [06:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [01:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [01:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [01:00:00 12/04/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [01:00:00 12/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [01:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Pain st: NotStopd t0: [01:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [01:00:00 12/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [01:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3838 id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [01:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 12/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [05:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd
t0: [04:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3658 id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 12/04/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/04/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 12/04/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/04/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 12/04/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [04:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 12/04/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 12/04/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 12/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [02:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [06:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [01:00:00 12/04/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [01:00:00 12/04/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [01:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub st: NotStopd t0: [04:00:00 12/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 12/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [04:00:00 12/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [04:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [04:00:00 12/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [04:00:00 12/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 12/04/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [04:00:00 12/04/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: Right Hand v2: 22 gauge st: NotStopd
t0: [07:45:00 12/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [07:45:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [07:45:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [07:45:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 25 u1: decFrc st: NotStopd t0: [07:45:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [07:45:00 12/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: RRT v1: 33% st: NotStopd t0: [07:45:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [07:45:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [07:45:00 12/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [07:45:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [07:45:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [07:45:00 12/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Albuterol st: NotStopd t0: [07:45:00 12/04/2014] id: MDI #2 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Atrovent st: NotStopd t0: [07:45:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.7 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [07:45:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [07:45:00 12/04/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: Pause Time % el: 0 cu: CCU cg: RRT v1: 0% st: NotStopd t0: [07:45:00 12/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: RRT v1: 33.3333 u1: lpm st: NotStopd t0: [07:45:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [07:45:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [07:45:00 12/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:45:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:45:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [07:45:00 12/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:45:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [07:45:00 12/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [07:45:00 12/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:45:00 12/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 518 u1: ml/B st: NotStopd t0: [07:45:00 12/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:45:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [07:45:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [07:45:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd t0: [07:45:00 12/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: SQUARE st: NotStopd t0: [07:45:00 12/04/2014] id: Working Pressure el: 0 cu: CCU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [08:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [08:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [08:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [08:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [08:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml
t0: [08:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:45:00 12/04/2014] id: Cholesterol (<200) Chemistry el: 0 cu: CCU cg: 140 v1: 201 u1: mg/dl rs: Final st: NotStopd
t0: [08:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 12/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 12/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [08:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [08:00:00 12/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 12/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 12/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 12/04/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Medicated st: NotStopd t0: [09:00:00 12/04/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/04/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [09:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [09:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 12/04/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/04/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 12/04/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [09:00:00 12/04/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [09:00:00 12/04/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [09:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [09:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [09:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml
t0: [09:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Weak Palpable st: NotStopd t0: [08:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd
t0: [02:45:00 12/04/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 48 rs: Final st: NotStopd
t0: [08:00:00 12/04/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Positive v2: 5 st: NotStopd t0: [08:00:00 12/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 12/04/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [08:00:00 12/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [08:00:00 12/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [08:00:00 12/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [08:00:00 12/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [09:00:00 12/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd
t0: [10:00:00 12/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 6 vu: ml t0: [10:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml t0: [10:00:00 12/04/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 3 vu: ml
t0: [10:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Weak Palpable st: NotStopd t0: [10:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 59 u1: BPM st: NotStopd t0: [10:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/04/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 12/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [10:00:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [10:00:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 25 u1: decFrc st: NotStopd t0: [10:00:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [10:00:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:00:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [10:00:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 12/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [10:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [10:00:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [10:00:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [10:00:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [10:00:00 12/04/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29.2 u1: cmH2O st: NotStopd t0: [10:00:00 12/04/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [10:00:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [10:00:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [10:00:00 12/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 12/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 347 u1: ml/B st: NotStopd t0: [10:00:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:00:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [10:00:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd t0: [10:00:00 12/04/2014] id: Working Pressure el: 0 cu: CCU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [10:00:00 12/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml
t0: [10:56:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 22cm v2: Lip st: NotStopd t0: [10:56:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [10:56:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: RRT v1: 25 u1: decFrc st: NotStopd t0: [10:56:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.3 u1: torr st: NotStopd t0: [10:56:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:56:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.0 mm st: NotStopd t0: [10:56:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [10:56:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [10:56:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [10:56:00 12/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 6 v2: Serevent st: NotStopd t0: [10:56:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7.4 u1: cmH2O st: NotStopd t0: [10:56:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 34.2 u1: L/min st: NotStopd t0: [10:56:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [10:56:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:56:00 12/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [10:56:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [10:56:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [10:56:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [10:56:00 12/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [10:56:00 12/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [10:56:00 12/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 316 u1: ml/B st: NotStopd t0: [10:56:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [10:56:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 7 u1: # st: NotStopd t0: [10:56:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: Servo 900c st: NotStopd
t0: [11:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [11:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 161 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [11:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:27:00 12/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [11:27:00 12/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 222 rs: Final st: NotStopd
t0: [12:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/04/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Cuff Pressure-Airway el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [12:00:00 12/04/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: ETT Position Change el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 12/04/2014] id: FIO2 Alarm-High el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: FIO2 Alarm-Low el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: FiO2 (Analyzed) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.28 u1: torr st: NotStopd t0: [12:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 13 u1: points st: NotStopd t0: [12:00:00 12/04/2014] id: % Inspir. Time el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/04/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Airway Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Airway Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 12/04/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Minute Volume (Set) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Aerosol-Cool st: NotStopd t0: [12:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/04/2014] id: PEEP Set el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 162 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [12:00:00 12/04/2014] id: Pause Time % el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [12:00:00 12/04/2014] id: Peak Flow (Calc) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/04/2014] id: Pressure Support el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3178 id: Significant Events el: 0 cu: CCU cg: RN v1: Extubated st: NotStopd t0: [12:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 12/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [12:00:00 12/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [12:00:00 12/04/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Total PEEP Level el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/04/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 12/04/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: Working Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [12:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [11:45:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.28 u1: torr st: NotStopd t0: [11:45:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3193 id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Aerosol-Cool st: NotStopd
t0: [11:45:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3193 id: Extubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 2 st: NotStopd t0: [11:45:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [11:45:00 12/04/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [11:45:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:45:00 12/04/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: White v2: Thick st: NotStopd t0: [11:45:00 12/04/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [12:40:00 12/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd t0: [12:40:00 12/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [12:40:00 12/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [12:40:00 12/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 12/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [12:40:00 12/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.32 rs: Final st: NotStopd
t0: [13:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 162 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [13:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [13:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [14:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.28 u1: torr st: NotStopd t0: [14:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [14:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [14:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [14:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [14:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Aerosol-Cool st: NotStopd t0: [14:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 153 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [14:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [14:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [14:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 135 vu: ml
t0: [10:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [14:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Diff to Palpate st: NotStopd t0: [14:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3058 id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 12/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [14:00:00 12/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [14:00:00 12/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 12/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [14:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [14:00:00 12/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [14:00:00 12/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [14:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 12/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [14:00:00 12/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/04/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 12/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [14:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3058 id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [14:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 12/04/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [14:00:00 12/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [14:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 12/04/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [15:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [15:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [15:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 2998 id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [15:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 125 vu: ml
t0: [15:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:57:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 2 st: NotStopd t0: [14:57:00 12/04/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.24 u1: torr st: NotStopd t0: [14:57:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 2 v2: 28 st: NotStopd t0: [14:57:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3001 id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: alb/atr st: NotStopd t0: [14:57:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Nasal Cannula st: NotStopd t0: [14:57:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 3001 id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 2 u1: lpm st: NotStopd t0: [14:57:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [14:57:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd
t0: [15:00:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [15:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [15:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:00:00 12/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 2938 id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [16:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [16:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 12/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 147 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [16:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 12/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 12/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 12/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [16:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [16:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 195 vu: ml
t0: [16:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:59:00 12/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [15:59:00 12/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [15:59:00 12/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [15:59:00 12/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 12/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [15:59:00 12/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [16:00:00 12/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 12/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 12/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 12/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [16:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 12/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [16:00:00 12/04/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 12/04/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd
t0: [16:00:00 12/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: ALB/ATR st: NotStopd t0: [16:00:00 12/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 26 u1: BPM st: NotStopd
t0: [16:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 12/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [17:00:00 12/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 12/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [17:00:00 12/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [17:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [17:00:00 12/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [17:00:00 12/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd
t0: [17:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [17:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [18:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 12/04/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/04/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [18:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [18:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 12/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 12/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [18:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: RN v1: 156 rs: Manual st: NotStopd
t0: [18:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml
t0: [18:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [19:30:00 12/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.8 u1: % rs: Final st: NotStopd t0: [19:30:00 12/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.9 u1: gm/dl rs: Final st: NotStopd
t0: [20:00:00 12/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 12/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 12/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [20:00:00 12/04/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/04/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 12/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [20:00:00 12/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [20:00:00 12/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [20:00:00 12/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 12/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 12/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 154 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [20:00:00 12/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 12/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 12/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 12/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 12/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [20:00:00 12/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 12/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 30 vu: ml t0: [20:00:00 12/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [20:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [20:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/04/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 270 ap: none
t0: [19:30:00 12/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.6 rs: Final st: NotStopd t0: [19:30:00 12/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 19.3 rs: Final st: NotStopd
t0: [19:30:00 12/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [19:30:00 12/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.4 rs: Final st: NotStopd
t0: [19:30:00 12/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 150 rs: Final st: NotStopd
t0: [21:00:00 12/04/2014] id: Extubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 2 st: NotStopd t0: [21:00:00 12/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 2 v2: Serevent st: NotStopd t0: [21:00:00 12/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: Alb/Atr st: NotStopd t0: [21:00:00 12/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Nasal Cannula st: NotStopd t0: [21:00:00 12/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 2 u1: lpm st: NotStopd t0: [21:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd
t0: [19:00:00 12/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: RN v1: 150 rs: Manual st: NotStopd t0: [22:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 153 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [22:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 2578 id: Temperature C el: 0 cu: CCU cg: RN v1: Tympanic st: NotStopd t0: [22:00:00 12/04/2014] tf: [16:58:00 14/04/2014] dt: 2578 id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [22:00:00 12/04/2014] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.34 u1: Deg. F st: NotStopd t0: [22:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/04/2014] id: Stool Out Stool el: 2 cu: CCU cg: RN vu: ml es: Small t0: [21:00:00 12/04/2014] id: Stool Out Stool el: 2 cu: CCU cg: RN vu: ml es: Small t0: [22:00:00 12/04/2014] tf: [02:00:00 13/04/2014] dt: 240 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [22:00:00 12/04/2014] id: Stool Out Stool el: 2 cu: CCU cg: RN vu: ml es: Small t0: [22:00:00 12/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [22:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 12/04/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/04/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/04/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 124 ap: none t0: [23:00:00 12/04/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 394 ap: none t0: [23:00:00 12/04/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: carryForward t0: [23:00:00 12/04/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1470 ap: none t0: [23:00:00 12/04/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -1076 ap: carryForward t0: [23:00:00 12/04/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1470 ap: carryForward t0: [23:00:00 12/04/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 998 ap: carryForward t0: [23:00:00 13/04/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 325 cv: -1546 ap: carryForward
t0: [22:46:00 12/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: rrt v1: Alb/Atr st: NotStopd
t0: [00:15:00 13/04/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.5624 u1: ml/dl st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [00:15:00 13/04/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [02:00:00 13/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd t0: [02:00:00 13/04/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [00:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 166 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [00:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 13/04/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Resp Distress st: NotStopd t0: [00:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:15:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:15:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:15:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 175 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 167 u1: mmHg st: NotStopd t0: [00:15:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:15:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:15:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:15:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:30:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:30:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 149 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [00:30:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [00:30:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [00:30:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [00:30:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:45:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:45:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:45:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:45:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:45:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:45:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 90 u1: % st: NotStopd t0: [00:45:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 160 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [01:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2398 id: Radiologic Study el: 0 cu: CCU cg: RN v1: Chest Xray st: NotStopd t0: [01:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [01:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [01:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:15:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:15:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [01:15:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [01:15:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:15:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2383 id: Procedures el: 0 cu: CCU cg: RN v1: EKG st: NotStopd t0: [01:15:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:15:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:15:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [02:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [02:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [02:00:00 13/04/2014] tf: [12:01:00 13/04/2014] dt: 601 id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [00:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [00:30:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml t0: [01:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [02:00:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [02:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 72 vu: ml nb: 1 t0: [02:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 350 vu: ml
t0: [00:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:15:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 300 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 360 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 360 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 12/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [23:00:00 12/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 12/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 12/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 156 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [23:00:00 12/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [23:00:00 12/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 12/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 12/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:45:00 12/04/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 13/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 13/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [00:00:00 13/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 27 st: NotStopd t0: [00:00:00 13/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: Right Antecub v2: 18 gauge st: NotStopd t0: [00:00:00 13/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [00:00:00 13/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 13/04/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 243 rs: Manual st: NotStopd t0: [00:15:00 13/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: RN v1: 7.36 rs: Final st: NotStopd t0: [00:15:00 13/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: RN v1: 7.36 rs: Final st: NotStopd
t0: [23:00:00 12/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [03:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [04:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [04:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [04:00:00 13/04/2014] tf: [05:00:00 13/04/2014] dt: 60 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 12 vu: ml t0: [04:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 60 vu: ml t0: [04:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [03:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 13/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:00:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Tympanic st: NotStopd t0: [04:00:00 13/04/2014] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.2 u1: Deg. C st: NotStopd t0: [04:00:00 13/04/2014] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.16 u1: Deg. F st: NotStopd
t0: [04:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:45:00 13/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.2 u1: % rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 275 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [04:00:00 13/04/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 14.5799 u1: ml/dl st: NotStopd
t0: [05:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 148 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [05:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [05:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [05:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [05:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 260 vu: ml
t0: [05:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 13/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: Alb/Atr st: NotStopd
t0: [03:45:00 13/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.8 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 20.2 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 150 rs: Final st: NotStopd
t0: [03:00:00 13/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: RN v1: 2.8 rs: Manual st: NotStopd t0: [04:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2218 id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [04:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2218 id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [05:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [05:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [05:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [05:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [05:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [05:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 13/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [05:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd
t0: [03:45:00 13/04/2014] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 302 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 71 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 51 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 234 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd t0: [03:45:00 13/04/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd
t0: [06:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [06:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [06:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [06:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 280 vu: ml
t0: [06:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 200 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 13/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: RN rs: Manual st: NotStopd t0: [04:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 13/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [04:00:00 13/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd
t0: [07:00:00 13/04/2014] id: IV #1 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [07:00:00 13/04/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [07:00:00 13/04/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [07:00:00 13/04/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [06:30:00 13/04/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Chest Pain st: NotStopd t0: [07:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [07:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [07:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 13/04/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 321 rs: Manual st: NotStopd
t0: [07:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [07:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [07:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 13/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [07:00:00 13/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [07:00:00 13/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [07:00:00 13/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [07:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 13/04/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [07:00:00 13/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Fair st: NotStopd t0: [07:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [07:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2038 id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [07:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 13/04/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [07:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [07:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [07:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [07:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [07:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2038 id: Pain Cause el: 0 cu: CCU cg: RN v1: Activity st: NotStopd t0: [07:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2038 id: Pain Location el: 0 cu: CCU cg: RN v1: Left Chest st: NotStopd t0: [07:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 2038 id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [07:00:00 13/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [07:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 13/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [07:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [07:00:00 13/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [07:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd
t0: [07:00:00 13/04/2014] tf: [08:00:00 13/04/2014] dt: 60 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 210 vu: ml t0: [07:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [07:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 210 vu: ml
t0: [07:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [08:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [08:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:00:00 13/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 13/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [08:00:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [08:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 21 vu: ml
t0: [08:00:00 13/04/2014] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 140 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:01:00 13/04/2014] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [08:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 2 st: NotStopd t0: [08:00:00 13/04/2014] id: MDI #1 (Puff/Drug) el: 0 cu: CCU cg: RRT v1: 4 v2: Serevent st: NotStopd t0: [08:00:00 13/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: alb/atr st: NotStopd t0: [08:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Nasal Cannula st: NotStopd t0: [08:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 2 u1: lpm st: NotStopd t0: [08:00:00 13/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd
t0: [09:49:00 13/04/2014] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [09:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [09:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [10:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [10:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [10:00:00 13/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [10:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 13/04/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [10:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [10:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [10:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 13/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [10:00:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [10:00:00 13/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [10:00:00 13/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [10:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/04/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd
t0: [10:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 33 vu: ml t0: [10:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [09:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml
t0: [11:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 13/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.4 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.4 rs: Final st: NotStopd
t0: [11:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: -1 ai: 103 vo: 60 vu: ml t0: [11:00:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 6 vu: ml
t0: [11:00:00 13/04/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 165 rs: Manual st: NotStopd
t0: [11:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 65 vu: ml
t0: [09:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [09:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 13/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 13/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [11:00:00 13/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [11:00:00 13/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [11:00:00 13/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [11:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 13/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [10:30:00 13/04/2014] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 267 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 58 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 80 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 191 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd
t0: [10:30:00 13/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [10:30:00 13/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.5 rs: Final st: NotStopd
t0: [10:30:00 13/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 63.4 rs: Final st: NotStopd
t0: [12:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [12:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 13/04/2014] id: Nitroglycerine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 13/04/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 516 ap: none
t0: [12:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd
t0: [12:01:00 13/04/2014] id: D5W 250.0ml + 100mcgmin Nitroglycerine IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [13:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [13:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [13:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [13:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [13:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [13:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [13:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Dentures st: NotStopd t0: [13:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [13:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [13:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [13:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [13:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [13:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 13/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [13:00:00 13/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [13:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 13/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [13:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 135 vu: ml
t0: [14:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 13/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [14:00:00 13/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [14:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd
t0: [14:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [14:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RRT v1: 3 v2: 2 st: NotStopd t0: [14:00:00 13/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: alb/atr st: NotStopd t0: [14:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Nasal Cannula st: NotStopd t0: [14:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 2 u1: lpm st: NotStopd t0: [14:00:00 13/04/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd
t0: [14:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [14:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [14:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:00:00 13/04/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Left Chest st: NotStopd t0: [14:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [14:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [14:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [14:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 13/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [15:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 145 vu: ml t0: [15:30:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 95 vu: ml
t0: [15:00:00 13/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [15:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [15:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [15:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [16:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/04/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Confused st: NotStopd t0: [16:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [16:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 13/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [16:15:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:15:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:15:00 13/04/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Left Chest st: NotStopd t0: [16:15:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:30:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:30:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:30:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:30:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:30:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:30:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [16:45:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:45:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [16:45:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd
t0: [16:30:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:30:00 13/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [16:30:00 13/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.7 u1: Deg. F st: NotStopd
t0: [16:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [16:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 225 vu: ml
t0: [16:15:00 13/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:15:00 13/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:15:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:15:00 13/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:15:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Tachypneic st: NotStopd t0: [16:15:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd
t0: [16:45:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:45:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:45:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:45:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:45:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [16:45:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:45:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:45:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 13/04/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Right Arm st: NotStopd t0: [17:00:00 13/04/2014] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [17:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 65 vu: ml
t0: [18:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [18:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [18:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: RN v1: 7.45 rs: Manual st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: RN v1: 4 rs: Manual st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: RN v1: 31 rs: Manual st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: RN v1: 43 u1: mmHg rs: Manual st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: RN v1: 83 u1: mmHg rs: Manual st: NotStopd t0: [14:00:00 13/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: RN v1: 7.45 rs: Manual st: NotStopd
t0: [18:05:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:05:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [18:05:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:05:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:05:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:05:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:05:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:05:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [17:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [18:00:00 13/04/2014] id: Extubation Date el: 0 cu: CCU cg: RN v1: 3 v2: 2 st: NotStopd t0: [18:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 13/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [18:00:00 13/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [18:00:00 13/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [18:00:00 13/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [18:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 13/04/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 13/04/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [18:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 13/04/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 165 rs: Manual st: NotStopd t0: [18:05:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:05:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:05:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [18:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [18:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml
t0: [17:45:00 13/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.7 u1: % rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.2 u1: gm/dl rs: Final st: NotStopd
t0: [17:45:00 13/04/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 69 rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 177 rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.5 rs: Final st: NotStopd
t0: [17:45:00 13/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.1 rs: Final st: NotStopd t0: [17:45:00 13/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 49.2 rs: Final st: NotStopd
t0: [19:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [19:00:00 13/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 35.8333 u1: Deg. C st: NotStopd t0: [19:00:00 13/04/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.5 u1: Deg. F st: NotStopd t0: [19:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 140 vu: ml
t0: [20:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Diff to Palpate st: NotStopd t0: [20:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/04/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 13/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 13/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 13/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 13/04/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [20:00:00 13/04/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 13/04/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 13/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [20:00:00 13/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 13/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 13/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 13/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 13/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 13/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 13/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:00:00 13/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 13/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [20:00:00 13/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [20:00:00 13/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 13/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 13/04/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 0 vu: ml nb: 1 t0: [20:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 13/04/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 0 ap: none
t0: [17:00:00 13/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: RN v1: 28.7 u1: % rs: Manual st: NotStopd t0: [21:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 13/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 13/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [21:00:00 13/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [21:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 13/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [21:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 225 vu: ml
t0: [23:00:00 13/04/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 480 ap: none
t0: [21:00:00 13/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 125 vu: ml
t0: [23:00:00 13/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 13/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 13/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 13/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [23:00:00 13/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [23:00:00 13/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [23:00:00 13/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 13/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 13/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 13/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [23:00:00 13/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [23:00:00 13/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [23:00:00 13/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 13/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 13/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 13/04/2014] tf: [16:58:00 14/04/2014] dt: 1078 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 153 vo: 375 vu: ml t0: [23:00:00 13/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml
t0: [23:00:00 13/04/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 13/04/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 325 cv: 325 ap: none t0: [23:00:00 13/04/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 375 cv: 1371 ap: none t0: [23:00:00 13/04/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 50 cv: 3915 ap: none t0: [23:00:00 13/04/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 325 cv: -2544 ap: none t0: [23:00:00 13/04/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 50 cv: 3915 ap: none t0: [23:00:00 13/04/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: RN pv: 375 cv: 375 ap: none
t0: [23:00:00 13/04/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 325 rs: Manual st: NotStopd
t0: [00:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 14/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 14/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 14/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/04/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 14/04/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 14/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 14/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 14/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 14/04/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 14/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 14/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [00:00:00 14/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [00:00:00 14/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [00:00:00 14/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 60 vu: ml t0: [00:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 225 vu: ml
t0: [23:00:00 14/04/2014] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 14/04/2014] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 14/04/2014] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 780 ap: none t0: [23:00:00 14/04/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: -1 cg: RN cv: 780 ap: none t0: [23:00:00 14/04/2014] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 1445 ap: none t0: [23:00:00 14/04/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: -665 ap: none t0: [23:00:00 14/04/2014] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 1445 ap: none t0: [23:00:00 14/04/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: -2211 ap: carryForward
t0: [01:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [01:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [01:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [00:00:00 14/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 14/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [03:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [03:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 14/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [04:00:00 14/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 14/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 14/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 14/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Exp Wheeze st: NotStopd t0: [04:00:00 14/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 14/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [04:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [06:00:00 14/04/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [06:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 14/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 14/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [06:00:00 14/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [06:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [06:18:00 14/04/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.8348 u1: ml/dl st: NotStopd t0: [06:18:00 14/04/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [06:18:00 14/04/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:37:00 14/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5.6 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.1 u1: % rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.53 u1: /mic l rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 5.6 rs: Final st: NotStopd
t0: [06:37:00 14/04/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 16.9 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 44.4 rs: Final st: NotStopd
t0: [06:37:00 14/04/2014] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 188 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 99 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 59 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 273 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 u1: mEq/L rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.7 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd t0: [06:37:00 14/04/2014] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd
t0: [06:37:00 14/04/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 165 rs: Final st: NotStopd
t0: [08:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [08:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [09:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 14/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [09:00:00 14/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.6667 u1: Deg. C st: NotStopd t0: [09:00:00 14/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.2 u1: Deg. F st: NotStopd t0: [09:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml
t0: [08:00:00 14/04/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 14/04/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/04/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 14/04/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 14/04/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 14/04/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 14/04/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 14/04/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 2 v2: 28 st: NotStopd t0: [08:00:00 14/04/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 14/04/2014] tf: [16:58:00 14/04/2014] dt: 538 id: ImpSkin Character #1 el: 0 cu: CCU cg: RN v1: Abrasion st: NotStopd t0: [08:00:00 14/04/2014] tf: [16:58:00 14/04/2014] dt: 538 id: Impaired Skin Site#1 el: 0 cu: CCU cg: RN v1: Leg, Right Upper st: NotStopd t0: [08:00:00 14/04/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/04/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/04/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 14/04/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 14/04/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/04/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/04/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 14/04/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 14/04/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 14/04/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/04/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 14/04/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/04/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 14/04/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 14/04/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [08:00:00 14/04/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 14/04/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 14/04/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/04/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 14/04/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/04/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 14/04/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [09:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 80 vu: ml
t0: [10:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 150 vu: ml
t0: [10:05:00 14/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: alb/atr st: NotStopd
t0: [11:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [11:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 150 vu: ml t0: [11:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [12:00:00 14/04/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd
t0: [12:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 14/04/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: RN v1: 340 rs: Manual st: NotStopd t0: [13:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [13:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 14/04/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [13:00:00 14/04/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [13:00:00 14/04/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [13:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 100 vu: ml t0: [13:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [14:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 14/04/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 14/04/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/04/2014] id: Po Intake PO/Gastric el: 1 cu: CCU cg: RN ai: 103 vo: 120 vu: ml t0: [15:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [15:00:00 14/04/2014] id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: ALB/ATR st: NotStopd
t0: [16:00:00 14/04/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/04/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/04/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 14/04/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 14/04/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 14/04/2014] tf: [16:58:00 14/04/2014] dt: 58 id: NBP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 14/04/2014] tf: [16:58:00 14/04/2014] dt: 58 id: NBP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 14/04/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/04/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 14/04/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 14/04/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/04/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml